scholarly journals Nursing Diagnoses of hospitalized patients with heart failure: a longitudinal study

2016 ◽  
Vol 50 (6) ◽  
pp. 929-936 ◽  
Author(s):  
Juliana de Melo Vellozo Pereira ◽  
◽  
Paula Vanessa Peclat Flores ◽  
Lyvia da Silva Figueiredo ◽  
Cristina Silva Arruda ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiac Output ◽  
Hospitalized Patients ◽  
Reduced Ejection Fraction ◽  
Nursing Diagnosis ◽  
Patients With Heart Failure ◽  
Determining Factors ◽  
Expert Nurses ◽  
Physical Examinations ◽  
Nursing Diagnoses

Abstract OBJECTIVE Identifying Nursing Diagnoses of fatigue, activity intolerance and decreased cardiac output in hospitalized patients with heart failure and verifying the association between the defining characteristics and the Nursing Diagnoses. METHOD A longitudinal and prospective study that followed hospitalized patients with heart failure for three weeks. The data collected through interviews and physical examinations were sent to expert nurses for diagnostic inference. Descriptive and inferential statistical analyses were carried out. RESULTS Of the 72 patients, 68.0% were male and presented the nursing diagnosis of decreased cardiac output (62.5%) in the first week, reducing to 52.8% and 38% in the second and third weeks, respectively. Fatigue only appeared in one patient. Activity intolerance was the diagnosis that had the greatest discrepancy among the experts. Decreased cardiac output was associated to the defining characteristics: dyspnea, edema, jugular venous distension and reduced ejection fraction during all three weeks of evaluation. CONCLUSION Decreased cardiac output was more prevalent in hospitalized patients with heart failure, and the associated defining characteristics were determining factors for this nursing diagnosis.

Content Validation of the Operational Definitions of the Nursing Diagnoses of Activity Intolerance, Excess Fluid Volume, and Decreased Cardiac Output in Patients With Heart Failure

2013 ◽  
Vol 25 (2) ◽  
pp. 85-93 ◽  
Author(s):  
Vanessa de Souza ◽  
Sandra Salloum Zeitoun ◽  
Camila Takao Lopes ◽  
Ana Paula Dias de Oliveira ◽  
Juliana de Lima Lopes ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cardiac Output ◽  
Fluid Volume ◽  
Content Validation ◽  
Patients With Heart Failure ◽  
Nursing Diagnoses

Definition, epidemiology, and burden of disease: HFrEF

ESC CardioMed ◽  
2018 ◽  
pp. 1745-1748
Author(s):  
Aldo Pietro Maggioni ◽  
Ovidiu Chioncel
Keyword(s):  
Heart Failure ◽  
Cardiac Output ◽  
Ejection Fraction ◽  
Burden Of Disease ◽  
Clinical Profile ◽  
Preserved Ejection Fraction ◽  
Economic Costs ◽  
Reduced Ejection Fraction ◽  
Cardiac Abnormalities ◽  
Patients With Heart Failure

Heart failure is the final common stage of many diseases of the heart, caused by structural and/or functional cardiac abnormalities, resulting in a reduced cardiac output. The clinical profile of patients with heart failure with reduced ejection fraction (HFrEF) is generally more severe than that of patients with heart failure and preserved ejection fraction. HFrEF remains a relevant problem, despite the improvements in its management achieved in the last decades, leading to large economic costs, frequent hospitalization, and high levels of mortality.

Definition, epidemiology, and burden of disease: HFrEF

ESC CardioMed ◽  
2018 ◽  
pp. 1745-1748
Author(s):  
Aldo Pietro Maggioni ◽  
Ovidiu Chioncel
Keyword(s):  
Heart Failure ◽  
Cardiac Output ◽  
Ejection Fraction ◽  
Burden Of Disease ◽  
Clinical Profile ◽  
Preserved Ejection Fraction ◽  
Economic Costs ◽  
Reduced Ejection Fraction ◽  
Cardiac Abnormalities ◽  
Patients With Heart Failure

Heart failure is the final common stage of many diseases of the heart, caused by structural and/or functional cardiac abnormalities, resulting in a reduced cardiac output. The clinical profile of patients with heart failure with reduced ejection fraction (HFrEF) is generally more severe than that of patients with heart failure and preserved ejection fraction. HFrEF remains a relevant problem, despite the improvements in its management achieved in the last decades, leading to large economic costs, frequent hospitalization, and high levels of mortality.

Nursing diagnosis in patients with heart failure with reduced ejection fraction

2017 ◽  
Vol 27 ◽  
Author(s):  
Omar Pereira de Almeida Neto ◽  
Thales Antônio Martins Soares ◽  
Alberto Lopes Ribeiro-Júnior ◽  
Cristiane Martins Cunha ◽  
Leila Aparecida Kauchakje Pedrosa ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Reduced Ejection Fraction ◽  
Nursing Diagnosis ◽  
Patients With Heart Failure

scholarly journals Guideline Adherence of β-blocker Initiating Dose and its Consequence in Hospitalized Patients With Heart Failure With Reduced Ejection Fraction

2021 ◽  
Vol 12 ◽  
Author(s):  
Yiling Zhou ◽  
Yuping Zeng ◽  
Si Wang ◽  
Nan Li ◽  
Miye Wang ◽  
...  
Keyword(s):  
Heart Failure ◽  
Ejection Fraction ◽  
Dose Reduction ◽  
Guideline Adherence ◽  
Standard Dose ◽  
Hospitalized Patients ◽  
Adherence To Guidelines ◽  
Reduced Ejection Fraction ◽  
Patients With Heart Failure ◽  
Β Blocker

Background: We aim to investigate the guideline adherence of β-blocker (BB) initiating dose in Chinese hospitalized patients with heart failure with reduced ejection fraction (HFrEF) and whether the adherence affected the in-hospital outcomes.Methods: This was a retrospective study of patients hospitalized with HFrEF who had initiated BBs during their hospitalization. We defined adherence to clinical practice guidelines as initiating BB with standard dose and non-adherence to guidelines if otherwise, and examined the association between adherence to guidelines and in-hospital BB-related adverse events. Subgroup analyses based on sex, age, coronary heart disease, and hypertension were performed.Results: Among 1,104 patients with HFrEF initiating BBs during hospitalization (median length of hospitalization, 12 days), 304 (27.5%) patients received BB with non-adherent initiating dose. This non-adherence was related to a higher risk (hazard ratio [95% confidence interval]) of BB dose reduction or withdrawal (1.78 [1.42 to 2.22], P < 0.001), but not significantly associated with risks of profound bradycardia, hypotension, cardiogenic shock requiring intravenous inotropes, and severe bronchospasm requiring intravenous steroid during hospitalization.Conclusion: This study identified that over a fourth of patients had received BBs with an initiating dose that was not adherent to guidelines in Chinese hospitalized patients with HFrEF, and this non-adherence was associated with BB dose reduction or withdrawal during hospitalization.

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