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Measuring shortness of breath in heart failure (SOB-HF): development and validation of a new dyspnoea assessment tool
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
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2011 (English)In: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 13, no 8, 838-845 p.Article in journal (Refereed) Published
Abstract [en]

Aim To validate a previously developed instrument for measurement of breathlessness in patients with acute heart failure (HF). Methods and results We tested descriptors of breathlessness among 190 patients seeking care at the emergency department (ED) for acute shortness of breath. Out of 115 patients with confirmed HF, 107 (94%) had dyspnoea as their main symptom. There were no significant differences between those patients with HF and those who were not diagnosed as heart failure (NHF) (n = 75) in the descriptors of breathlessness, although patients with HF scored significantly (P = 0.03) higher on a visual analogue scale (VAS). In addition, they had significantly (P = 0.03) higher breathing frequency than NHF patients and they were significantly (P < 0.001) more likely to be treated with >40 mg furosemide. Conclusion Assessment of acute dyspnoea using a VAS is useful in distinguishing HF from NHF, and may be a more valid approach as compared with using descriptors of intensity of breathlessness in the acute setting.

Place, publisher, year, edition, pages
2011. Vol. 13, no 8, 838-845 p.
Keyword [en]
Heart failure, Symptoms, Questionnaire, Validation
National Category
Anesthesiology and Intensive Care
URN: urn:nbn:se:umu:diva-104832DOI: 10.1093/eurjhf/hfr062ISI: 000293301900006PubMedID: 21791539OAI: diva2:823064
Available from: 2015-06-17 Created: 2015-06-15 Last updated: 2015-06-17Bibliographically approved

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Stenlund, HansBoman, Kurt
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Department of Public Health and Clinical MedicineEpidemiology and Global Health
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