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Episodic breathlessness with and without background dyspnea in advanced cancer patients admitted to an acute supportive care unit

MERCADANTE, Sebastiano ; ADILE, Claudio ; FERRERA, Patrizia ; BONANNO, Giuseppe ; RESTIVO, Vincenzo ; CASUCCIO, Alessandra
Cancers, 29/07/2020, vol.12, n°8, p. 1-10

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Manuel de soins palliatifs - clinique, psychologie, éthique

LE BERRE, Rozenn
Dunod , 08/2020 , 1260 p.

Management of dyspnea in palliative care

CROMBEEN, A. M. ; LILLY, E. J.
Current oncology, 06/2020, vol.27, n°3, p. 142-145

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Palliative care in pulmonary medicine

PIERRE DE OLIVEIRA, Ellen ; MEDEIROS JUNIOR, Pedro
Jornal Brasileiro de pneumologia, 2020, vol.46, n°3, 11 p.

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Dexmedetomidine for dyspnoea

MANO, Akiko ; MURATA, Tomohiro ; DATE, Kazuma ; KAWATA, Mitsuhiro ; SATO, Miyuki ; YAMASHITA, Norie ; IINO, Kimie ; KYO, Shunei ; SAITO, Eiichi
BMJ supportive and palliative care, 11/06/2020, Pagination inconnue

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The efficacy of a single session of 20-minute mindful breathing in reducing dyspnea among patients with acute decompensated heart failure - a randomized controlled trial

NG, Diana Leh-Ching ; CHAI, Chee-Shee ; TAN, Kok-Leng ; CHEE, Kok-Han ; TUNG, Yu-Zhen ; WAI, Suet-Yen ; TEO, Wei-Ting Joyce ; ANG, Bin-Ting ; LIM, Min-Ai ; TAN, Seng-Beng
American journal of hospice and palliative medicine, 26/06/2020, Pagination inconnue

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Mouthpiece ventilation in the management of dyspnea - a single-arm pilot study

LEHTO, Juho T ; LEIVO-KORPELA, Sirpa ; KORHONEN, Tarja ; RANTALA, Heidi A ; RAUNIO, Hanna ; LYLY-YRJANAINEN, Tiina ; LEHTIMAKI, Lauri
PALLIATIVE MEDICINE, 24/06/2020, p. 1-5

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Acupuncture for breathlessness in advanced diseases - a systematic review and meta-analysis

VON TROTT, Philipp ; OEI, Shiao Li ; RAMSENTHALER, Christina
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 02/2020, vol.59, n°2, p. 327-338

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Opioid underuse in terminal care of long-term care facility residents with pain and/or dyspnoea - a cross-sectional pace-survey in six European countries

TANGHE, Marc ; VAN DEN NOORTGATE, Nele ; DELIENS, Luc ; SMETS, Tinne ; ONWUTEAKA-PHILIPSEN, Bregje ; SZCZERBINSKA, Katarzyna ; FINNE-SOVERI, Harriet ; PAYNE, Sheila ; GAMBASSI, Giovanni ; VAN DEN BLOCK, Lieve ; PIERS, Ruth
PALLIATIVE MEDICINE, 14/04/2020, Pagination inconnue

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Place des opiacés dans le traitement de la dyspnée en soins palliatifs

KALLEL, Nesrine ; YANGUI, Ilhem ; FEKI, Walid ; AYEDI, Hajeur ; KAMMOUN, Samy
MEDECINE PALLIATIVE, Elsevier, 04/2020, vol.19, n°2, p. 114-120

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Immediate effect of fan therapy in terminal cancer with dyspnea at rest - a meta-analysis

KAKO, Jun ; KOBAYASHI, Masamitsu ; OOSONO, Yasufumi ; KAJIWARA, Kohei ; MIYASHITA, Mika
The American journal of hospice and palliative care, 04/2020, vol.37, n°4, p. 294-299

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Association between heart rate and reversibility of the symptom, refractoriness to palliative treatment, and survival in dyspneic cancer patients

MORI, Ichiro ; MAEDA, Isseki ; MORITA, Tatsuya ; INOUE, Satoshi ; IKENAGA, Masayuki ; SEKINE, Ryuichi ; YAMAGUCHI, Takashi ; HIROHASHI, Takeshi ; TAJIMA, Tsukasa ; WATANABE, Hiroaki
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 20/02/2020, Pagination inconnue

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Oxygen use and survival in patients with advanced cancer and low oxygen saturation in home care - a preliminary retrospective cohort study

IGARASHI, Hiroshi ; FUKUSHI, Motoharu ; NAGO, Naoki
BMC palliative care, 03/01/2020, vol.19, n°1, p. 1-10

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Opioid utility for dyspnea in chronic obstructive pulmonary disease - a complicated and controversial story

VOZORIS, Nicholas T.
Annals of palliative medicine, 15/12/2019, Pagination inconnue

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Benzodiazepines for cancer dyspnoea - a nationwide survey of palliative care physicians

MATSUDA, Yoshinobu ; MATSUNUMA, Ryo ; SUZUKI, Kozue ; MORI, Masanori ; WATANABE, Hiroaki ; YAMAGUCHI, Takashi
BMJ supportive and palliative care, 09/12/2019, Pagination inconnue

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Management of chronic dyspnea #376

WEINBERG, Richard ; KETTERER, Briana
JOURNAL OF PALLIATIVE MEDICINE, 01/07/2019, vol.22, n°7, p. 858-860

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High-flow nasal cannula versus conventional oxygen therapy in relieving dyspnea in emergency palliative patients with do-not-intubate status - a randomized crossover study

RUANGSOMBOON, Onlak ; DORONGTHOM, Thawonrat ; CHAKORN, Tipa ; MONSOMBOON, Apichaya ; PRAPHRUETKIT, Nattakarn ; LIMSUWAT, Chok ; SURABENJAWONG, Usapan ; RIYAPAN, Sattha ; NAKORNCHAI, Tanyaporn ; CHAISIRIN, Wansiri
Annals of emergency medicine, 18/12/2019, p. 1-12

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Fan therapy for the relief of dyspnea in adults with advanced disease and terminal illness - a meta-analysis of randomized controlled trials

YU, Shui ; SUN, Kai ; XING, Xiufang ; ZHONG, Yinbo ; YAN, Xuemei ; QIU, Weidong ; YAN, Min
JOURNAL OF PALLIATIVE MEDICINE, 12/2019, vol.22, n°12, p. 1603-1609

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Polypharmacy increases risk of dyspnea among adults with serious, life-limiting diseases

AKGUN, Kathleen M. ; KRISHNAN, Supriya ; FEDER, Shelli L. ; TATE, Janet ; KUTNER, Jean S. ; CROTHERS, Kristina
The American journal of hospice and palliative care, 24/09/2019, Pagination inconnue

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Thème : Médicaments - Pharmacie.

THERAPEUTIQUE MEDICAMENTEUSE ; DYSPNEE ; MALADIE LETALE

Background: Polypharmacy is associated with dyspnea in cross-sectional studies, but associations have not been determined in longitudinal analyses. Statins are commonly prescribed but their contribution to dyspnea is unknown. We determined whether polypharmacy was associated with dyspnea trajectory over time in adults with advanced illness enrolled in a statin discontinuation trial, overall, and in models stratified by statin discontinuation.
Methods: Using data from a parallel-group unblinded pragmatic clinical trial (patients on statins =3 months with life expectancy of 1 month to 1 year, enrolled in the parent study between June 3, 2011, and May 2, 2013, n = 308/381 [81%]), we restricted analyses to patients with available baseline medication count and =1 dyspnea score. Polypharmacy was assessed by self-reported chronic medication count. Dyspnea trajectory group, our primary outcome, was determined over 24 weeks using the Edmonton Symptom Assessment System.
Results: The mean age of the patients was 73.8 years (standard deviation [SD]: ±11.0) and the mean medication count was 11.6 (SD: ±5.0). We identified 3 dyspnea trajectory groups: none (n = 108), mild (n = 130), and moderate–severe (n = 70). Statins were discontinued in 51.8%, 48.5%, and 42.9% of patients, respectively. In multivariable models adjusting for age, sex, diagnosis, and statin discontinuation, each additional medication was associated with 8% (odds ratio [OR] = 1.08 [1.01-1.14]) and 16% (OR = 1.16 [1.08-1.25]) increased risk for mild and moderate–severe dyspnea, respectively. In stratified models, polypharmacy was associated with dyspnea in the statin continuation group only (mild OR = 1.12 [1.01-1.24], moderate–severe OR = 1.24 [1.11-1.39]) versus statin discontinuation (mild OR = 1.03 [0.95-1.12], and moderate–severe OR = 1.09 [0.98-1.22]).
Conclusion: Polypharmacy was strongly associated with dyspnea. Prospective interventions to decrease polypharmacy may impact dyspnea symptoms, especially for statins.

Origine : PubMed

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