Reduction of physical activity in patients with chronic obstructive pulmonary disease. Correspondencia a:. Background: Patients with chronic obstructive pulmonary disease COPD decrease their physical activity. However, it is unknown at which stage of the disease the reduction occurs and whether dyspnea is a limiting factor. Aim: To compare physical activity between patients with COPD and controls of similar age and to assess its association with disease severity.

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Enter your email address and we'll send you a link to reset your password. Patients with respiratory diseases, to assess degree of baseline functional disability due to dyspnea. Please fill out required fields. This is an unprecedented time. It is the dedication of healthcare workers that will lead us through this crisis. Thank you for everything you do. Calc Function Calcs that help predict probability of a disease Diagnosis. Subcategory of 'Diagnosis' designed to be very sensitive Rule Out.

Disease is diagnosed: prognosticate to guide treatment Prognosis. Numerical inputs and outputs Formula. Med treatment and more Treatment. Suggested protocols Algorithm. Disease Select Specialty Select Chief Complaint Select Organ System Select Log In. Email Address. Password Show. Or create a new account it's free. Forgot Password? Sign In Required. To save favorites, you must log in.

Creating an account is free, easy, and takes about 60 seconds. Log In Create Account. The principal investigators of the study request that you use the official version of the modified score here. Log in to create a list of your favorite calculators! Log in. When to Use. Why Use. The mMRC Dyspnea Scale quantifies disability attributable to breathlessness, and is useful for characterizing baseline dyspnea in patients with respiratory diseases.

Describes baseline dyspnea, but does not accurately quantify response to treatment of chronic obstructive pulmonary disease COPD. Does not capture patient effort, such that dyspnea from pulmonary disease and not behavioral responses to disability are reflected in mMRC Dyspnea Scale scores. Does not consistently correlate with spirometric measurements e. Demonstrates at least moderate positive correlation with other dyspnea scores, including the baseline dyspnea index BDI and oxygen cost diagram OCD Chhabra At least moderately correlated with healthcare-associated quality of life, particularly for patients with COPD Henoch Scores are associated with morbidity hospitalization and adverse cardiovascular outcomes and, in some studies, mortality.

Used as a component of the BODE Index , which predicts adverse outcomes, including mortality and risk of hospitalization Celli Easy and efficient to calculate. Provides a baseline assessment of functional impairment attributable to dyspnea from respiratory disease. Correlates with healthcare-associated quality of life, morbidity, and possibly mortality for patients with respiratory diseases particularly COPD. Has been used for almost two decades in multiple different heterogeneous patient populations.

Correlates with other clinical and research dyspnea indices. Inter-rater reliability is very high. Symptom severity.

Dyspnea only with strenuous exercise. Dyspnea when hurrying or walking up a slight hill. Walks slower than people of the same age because of dyspnea or has to stop for breath when walking at own pace.

Stops for breath after walking yards 91 m or after a few minutes. Too dyspneic to leave house or breathless when dressing. Result: Please fill out required fields. Next Steps. Creator Insights. Advice The mMRC Dyspnea Scale is best used to establish baseline functional impairment due to dyspnea attributable to respiratory disease; tracking the mMRC over time or with therapeutic interventions is of less certain clinical utility.

Furthermore, while the mMRC is correlated with morbidity and mortality for patients with respiratory disease, currently-available data do not confirm attributable cause and effect between mMRC Dyspnea Scale scores and patient-centered outcomes. Management While measuring mMRC Dyspnea Scale scores in patients with respiratory disease particularly COPD to establish baseline functional dyspnea burden is appropriate, mMRC scores are not independently used in clinical practice to guide clinical management or therapeutic interventions.

Content Contributors Jeremy B. Richards, MD. About the Creator Dr. Donald A. Also from MDCalc You might be interested in Partner Content.


2015, NĂºmero 2

Objective: Breathlessness is a common and disabling symptom of pulmonary disease. Measuring its severity is recommended as such measurements can be helpful in both clinical and research settings. These scales were previously translated to Spanish and adapted for use in a Hispanic population. The objective of this study is to assess the psychometric properties of these scales. We propose the scales correlate well with measures of physiological impairment. Methods: Subjects having pulmonary disease rated their perceptions of dyspnea using the scales, performed a spirometry test, and did a 6-min walk.


Introduction: In tuberculosis Tb , the great inflammatory component causes major injuries that trigger fibroblastic reaction, fibrosis and chest wall retraction, compromising pulmonary expansion, which translates into a clinically and functionally moderate restrictive pattern and dyspnea during exercise. This favors lung disability, causing economic and social dependence upon the nuclear family. Measures to control the Tb disease are merely focused on healing; and this fact must be considered insufficient because the actions aimed to habilitation and rehabilitation could prevent or reduce the incidence of Tb by cardiopulmonary disability. Results: An increase of the distance covered in the six-minute walk test 6MWT from m to m was observed. Dyspnea score with the medical research council MRC improved from 4 to 1, and improved from 7 to 0 with the Borg scale.


Enter your email address and we'll send you a link to reset your password. Patients with respiratory diseases, to assess degree of baseline functional disability due to dyspnea. Please fill out required fields. This is an unprecedented time. It is the dedication of healthcare workers that will lead us through this crisis.


The influence of comorbid chronic diseases and physical activity on quality of life in lung cancer survivors. Support Care Cancer ;23 5 Comorbidity in patients with small-cell lung cancer: trends and prognostic impact. Clin Lung Cancer ;16 4 The Platino project: methodology of a multicenter prevalence survey of chronic obstructive pulmonary disease in major Latin American cities. Arch Bronconeumol ;49 11 Medical Research Council.

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