Skip to main content
Article
Symptom presentation in patients hospitalized with acute heart failure.
Quantitative Health Sciences Publications and Presentations
  • Robert J. Goldberg, University of Massachusetts Medical School
  • Frederick A. Spencer, McMaster University
  • Mariana Szklo-Coxe, Old Dominion University
  • Mayra Tisminetzky, University of Massachusetts Medical School
  • Jorge L. Yarzebski, University of Massachusetts Medical School
  • Darleen M. Lessard, University of Massachusetts Medical School
  • Joel M. Gore, University of Massachusetts Medical School
  • William Gaasch, Lahey Medical Center
UMMS Affiliation
Center for Health Policy and Research; Department of Medicine, Division of Cardiovascular Medicine; Department of Quantitative Health Sciences
Date
6-1-2010
Document Type
Article
Medical Subject Headings
Heart Failure; Signs and Symptoms; Patients; Outcome Assessment (Health Care); Worcester, Mass.
Abstract
OBJECTIVES: The objectives of this study were to examine the type and frequency of symptoms in patients hospitalized with acute heart failure (HF) as well as the relationship between symptom patterns and patient characteristics, treatment practices, and hospital outcomes in patients hospitalized with decompensated HF. METHODS: The study sample consisted of 4537 residents of the Worcester, MA metropolitan area hospitalized for decompensated HF at 11 greater Worcester medical centers in 1995 and 2000. RESULTS: The average age of the study sample was 76 years; the majority (57%) were women, and three-quarters of our patient population had been previously diagnosed with HF. Dyspnea (93%) was the most frequent complaint reported by patients followed by the presence of peripheral edema (70%), cough (51%), orthopnea (37%), and chest pain/discomfort (30%). Patients reporting few cardiac symptoms were less likely to be treated with effective cardiac therapies during hospitalization than patients with multiple cardiac signs and symptoms and experienced higher hospital (9.7% vs. 7.7%) as well as 30-day (17.1% vs. 10.2%) death rates (P < 0.05). CONCLUSIONS: The results of this study in residents of a large New England community suggest that patients with fewer reported symptoms of decompensated HF were less likely to receive effective cardiac treatments and had worse short-term outcomes. Reasons for these differences in treatment practices and short-term outcomes need to be elucidated and attention directed to these high-risk patients.
Rights and Permissions
Citation: Clin Cardiol. 2010 Jun;33(6):E73-80.
Related Resources
Link to article in PubMed
PubMed ID
20552612
Citation Information
Robert J. Goldberg, Frederick A. Spencer, Mariana Szklo-Coxe, Mayra Tisminetzky, et al.. "Symptom presentation in patients hospitalized with acute heart failure." Vol. 33 Iss. 6 (2010) ISSN: 1932-8737
Available at: http://works.bepress.com/jorge_yarzebski/58/