Simple Measures of Function and Symptoms in Hospitalized Heart Failure Patients Predict Short-Term Cardiac Event-Free Survival
Joint Authors
Zaharias, Evanthia
Cataldo, Janine
Mackin, Lynda
Howie-Esquivel, Jill
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2013), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-09
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Background.
Heart failure (HF) is a prevalent chronic condition where patients experience numerous uncomfortable symptoms, low functional status, and high mortality rates.
Objective.
To determine whether function and/or symptoms predict cardiac event-free survival in hospitalized HF patients within 90 days of hospital discharge.
Methods.
Inpatients (N=32) had HF symptoms assessed with 4 yes/no questions.
Function was determined with NYHA Classification, Katz Index of Activities of Daily Living (ADLs), and directly with the short physical performance battery (SPPB).
Survival was analyzed with time to the first postdischarge cardiac event with events defined as cardiac rehospitalization, heart transplantation, or death.
Results.
Mean age was 58.2 ± 13.6 years.
Patient reported ADL function was nearly independent (5.6 ± 1.1) while direct measure (SPPB) showed moderate functional limitation (6.4 ± 3.1).
Within 90 days, 40.6% patients had a cardiac event.
At discharge, each increase in NYHA Classification was associated with a 3.4-fold higher risk of cardiac events (95% CI 1.4–8.5).
Patients reporting symptoms of dyspnea, fatigue, and orthopnea before discharge had a 4.0-fold, 9.7-fold, and 12.8-fold, respectively, greater risk of cardiac events (95% CI 1.2–13.2; 1.2–75.1; 1.7–99.7).
Conclusions.
Simple assessments of function and symptoms easily performed at discharge may predict short-term cardiac outcomes in hospitalized HF patients.
American Psychological Association (APA)
Zaharias, Evanthia& Cataldo, Janine& Mackin, Lynda& Howie-Esquivel, Jill. 2014. Simple Measures of Function and Symptoms in Hospitalized Heart Failure Patients Predict Short-Term Cardiac Event-Free Survival. Nursing Research and Practice،Vol. 2014, no. 2014, pp.1-11.
https://search.emarefa.net/detail/BIM-1046858
Modern Language Association (MLA)
Zaharias, Evanthia…[et al.]. Simple Measures of Function and Symptoms in Hospitalized Heart Failure Patients Predict Short-Term Cardiac Event-Free Survival. Nursing Research and Practice Vol. 2014, no. 2014 (2013), pp.1-11.
https://search.emarefa.net/detail/BIM-1046858
American Medical Association (AMA)
Zaharias, Evanthia& Cataldo, Janine& Mackin, Lynda& Howie-Esquivel, Jill. Simple Measures of Function and Symptoms in Hospitalized Heart Failure Patients Predict Short-Term Cardiac Event-Free Survival. Nursing Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-11.
https://search.emarefa.net/detail/BIM-1046858
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1046858