Proposes a physiological model to understand the mechanisms of breathlessness in COPD and guide the development of patient-reported outcome instruments.
May inform mechanistic understanding of dyspnea in COPD; leaves open prospective validation before guiding PRO development.
Breathlessness during daily activities has a significant impact on quality of life in chronic obstructive pulmonary disease. Herein, we present a physiological model of patient-reported breathlessness based on the relationship between ventilatory load, respiratory muscle capacity, neural respiratory drive and neuromechanical dissociation during daily activities. This model should facilitate an understanding of the mechanisms driving increased intensity of breathlessness during daily activities and the relief of breathlessness following medical or surgical interventions. The model should also provide a structure on which to base the development of patient-reported outcome instruments to measure the severity of breathlessness during daily activities in chronic obstructive pulmonary disease.
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Jolley et al. (2009) studied this question.
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