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8% in-hospital mortality; dyspnea=1-3, 2.5% mortality; dyspnea ≥4, 3.7% mortality, p less then 0.001). After adjustment for patient comorbidities, demographics, and severity of illness, increasing dyspnea remained associated with inpatient mortality (dyspnea 1-3, aOR 2.1, 95% CI 1.7-2.6; dyspnea ≥4, aOR 3.1, 95% CI 2.4-3.9). Pain did not predict increased mortality. Patients reporting dyspnea also used more hospital resources, were more likely to be readmitted, and were at increased risk of death within 2 years (dyspnea=1-3 adjusted HR 1.5