Table 2.
The Breathlessness Screening Tool (BST) | ||
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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