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. 2020 Jul 30;9(7):3209–3219. doi: 10.4103/jfmpc.jfmpc_1044_20

Table 2.

The breathlessness screening tool (BST) where the patient counts from 1 to 30 in their native language[23,24]

The Breathlessness Screening Tool (BST)
Method:
1)Ask the patient to take a deep breath in.
2)Then count aloud in native language from 1 to 30 in a single breath, as rapidly as possible.
3)Record the "maximum count."
4)Record the "counting time" using a stopwatch.
Maximum number of counted numbers on single breath < 7 OR
Time between consecutive breaths < 5 sec
Corresponds to Sp02 < 90% (on room air) with sensitivity of 87% and specificity of 82%
Caveats:
1)Tool has not been fully validated in the telehealth setting.
2)Tool correlates oxygen saturations on room air rather than on supplemental oxygen; thus, in the context of this algorithm, it can be used after the patient has been off oxygen > 1 hr*.
3)Effort-dependent, thus variable. Repeated testing may by more reliable.
4)To be used in conjunction with other indices and monitoring criteria.
Maximum number of counted numbers on single breath < 10 OR
Time between consecutive breaths < 7 sec
Corresponds to Sp02 < 95% (on room air) with sensitivity of 91% and specificity of 93%

SpO2 = Peripheral capillary oxygen saturation, * = an arbitrary time interval, which can be modified by decision of home oxygen team