How long before hospital admission do the symptoms of heart failure decompensation arise?

Authors

  • Maraísa Carine Born Universidade Federal de Ciências da Saúde de Porto Alegre https://orcid.org/0000-0003-0093-2329
  • Karina de Oliveira Azzolin Universidade Federal do Rio Grande do Sul, Escola de Enfermagem
  • Emiliane Nogueira de Souza Universidade Federal de Ciências da Saúde de Porto Alegre

DOI:

https://doi.org/10.1590/1518-8345.2735.3119

Keywords:

Heart Failure, Intensive Care Units, Nursing, Nursing Care, Signs and Symptoms, Self Care

Abstract

Objective: to identify the signs and symptoms of decompensation of heart failure (HF) and the duration of time to hospital admission. Method: this is a cross-sectional study with adult patients hospitalized for decompensated HF in a teaching hospital located in southern Brazil from July to October 2017. Data collection was performed through a structured questionnaire that included sociodemographic, clinical signs and symptoms of HF. In the data analysis, the following tests were applied: t-Student, Mann Whitney U-Test, Chi-Square Tests. Results: 94 patients, aged between 42 and 98 years old (mean of 71.2 years old) were included. The most prevalent signs and symptoms before emergency admission were dyspnea (79.8%), cough (29.8%), orthopnea (27.7%), edema (23.4%), and fatigue (22.3%). The median time from onset of signs and symptoms to arrival in the emergency room is fatigue and edema 7 days, orthopnea 5 days, cough 4 days and dyspnea 3 days. Conclusion: the set of classic signs and symptoms of decompensation of HF occurs around seven days before the emergency search and dyspnea is the worsening that leads the patient to a hospital emergency.

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Published

2019-03-18

Issue

Vol. 27 (2019)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

How long before hospital admission do the symptoms of heart failure decompensation arise?. (2019). Revista Latino-Americana De Enfermagem, 27(e3181), e3119. https://doi.org/10.1590/1518-8345.2735.3119