Mar 27, 2009 - Critical Care March 2009 Vol 13 Suppl 1 29th International Symposium on Intensive Care and Emergency Medicine. P3 .... oximetry. Emergency Medical Services and Emergency Depart- ...... S Beitland1, H Moen1, I Os2.
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P1 Time course of dyspnea evolution in the emergency department: results from the URGENT dyspnea survey M Tavares1, P Pang2, S Laribi3, A Mebazaa3, M Gheorghiade2 1Hospital de Santo Antonio-CHP, Porto, Portugal; 2Northwestern University, Chicago, IL, USA; 3Hôpital Lariboisière, Paris, France Critical Care 2009, 13(Suppl 1):P1 (doi: 10.1186/cc7165) Introduction There is considerable uncertainty about the reproducibility of the various instruments used to measure dyspnea, their ability to reflect changes in symptoms, whether they accurately reflect the patient’s experience and if its evolution is similar between acute heart failure syndrome patients and nonacute heart failure syndrome patients. URGENT was a prospective multicenter trial designed to address these issues. Methods Patients were interviewed within 1 hour of first physician evaluation, in the emergency department or acute care setting, with dyspnea assessed by the patient using both a five-point Likert scale and a 10-point visual analog scale (VAS) in the sitting (60º) and then supine (20º) position if dyspnea had not been considered severe or very severe by the sitting versus decubitus dyspnea measurement. Results Very good agreements were found between the five-point Likert and VAS at baseline (0.891, P
