Autor: |
T. A. M. Vinck, R. Deneer, CCAG Verstappen, WE Kok, K. Salah, V. Scharnhorst, LC Otterspoor, The Severity of bioMArkers and Self-care in Heart failure |
Jazyk: |
angličtina |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
BMC Nursing, Vol 21, Iss 1, Pp 1-10 (2022) |
Druh dokumentu: |
article |
ISSN: |
1472-6955 |
DOI: |
10.1186/s12912-022-00914-1 |
Popis: |
Abstract Aim To validate the predictive value of the European coLlaboration on Acute decompeNsated Heart Failure (ELAN-HF) score, and to assess the effect of self-care behaviour on readmission and mortality in patients after admission with acute decompensated heart failure (ADHF). Design Quantitative, prospective, single centre, cohort study. Methods N-Terminal pro–B-type natriuretic peptide (NT-proBNP) levels were measured on admission and discharge, and were used together with clinical and laboratory parameters to calculate the ELAN-HF score. Patients were stratified into four risk groups (low, intermediate, high, very high) according to their ELAN-HF score. The performance of the ELAN-HF score was evaluated and compared to the original study. Self-care behaviour was assessed by the European Heart Failure Self-care Behaviour Scale (EHFScBS-9). Survival analysis was used to estimate the association between both scores and re-admission for HF and/or all-cause mortality within 180 days. Results 88 patients were included. The median age of the study population was 75 years (IQR 69–83), 43% was female. NYHA III/IV functional class was present at discharge in 68 patients (85%) and 27 patients (34%) had a left ventricular ejection fraction |
Databáze: |
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