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Breathlessness Score Identified as Potent Predictor of Hospital Death in Large U.S. Study

A 45-second patient rating could help hospitals identify those at highest risk for deterioration.

Overview

  • Researchers analyzed nearly 10,000 adult admissions at a Boston medical center from 2014 to 2016, publishing the findings in ERJ Open Research.
  • Patients who developed new or worsening shortness of breath during their stay had about a sixfold higher risk of dying in hospital, while breathlessness on arrival was linked to roughly a threefold increase.
  • Breathless patients were more likely to require rapid response team involvement and transfers to intensive care units.
  • Breathlessness also signaled poorer long-term outcomes, including about a 50–70% higher two-year mortality and high six-month mortality when symptoms persisted at rest at discharge.
  • Reported pain levels did not predict death, and respiratory experts are urging routine dyspnoea checks to guide monitoring and post-discharge follow-up.