Nurses' performance in classifying heart failure patients based on physical exam : comparison with cardiologist's physical exam and levels of N-terminal pro-B-type natriuretic peptide
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/238821 |
Resumo: | Aim.The purpose of this study is to compare clinical assessment of congestion performed by a nurse to that performed bycardiologist and correlate them with NT-ProBNP levels.Background.The nurses’ role in heart failure has been strongly focused in therapeutic, educational and self-care interventions.The diagnostic performance of nurses in heart failure outpatients is not well explored. N-terminal pro-B-type natriuretic peptideis a cardiac marker that reflects elevated filling pressures.Design.Cross-sectional contemporaneous study.Methods.Heart failure outpatients underwent a systematic clinical assessment of clinical congestion score performed by car-diologist and nurse during the same visit. Assessments were performed independently and N-terminal pro-B-type natriureticpeptide levels obtained. The nurses’ ability to classify patients in hemodynamic profile was compared to the cardiologist’s.Results.Eighty-nine assessments were performed in 63 patients with heart failure. The correlation of clinical congestion scoresobtained by nurse with those obtained by cardiologist wasrs=0Æ86;p<0Æ001. The correlation of clinical congestion scoresfrom nurse and cardiologist with levels of N-terminal pro-B-type natriuretic peptide were as follows:rs=0Æ45;p<0Æ0001 andrs=0Æ51, respectively,p<0Æ0001. Patients with clinical congestion score‡3 had levels of NT-ProBNP significantly higher thanthose with clinical congestion score<3, in the assessment performed by the cardiologist (1866 SD 1151 vs. 757 SD 988 pg/ml;p<0Æ0001) and by the nurse (1720 SD 1228 vs. 821 SD 914 pg/ml;p<0Æ0001). The nurse and cardiologist had similarcapacity in classifying patients in congested quadrants (p=0Æ027) or in dry quadrants (p=0Æ03), according to the levels ofN-terminal pro-B-type natriuretic peptide. Area under the receiver-operating characteristic curve of the nurse and cardiologist todetect congestion was, respectively, 0Æ77 and 0Æ72. Conclusions.Our data suggests that nurses trained in heart failure may have a similar performance to that of the cardiologistfor the clinical detection of congestion and assessment of the hemodynamic profile in patients with chronic heart failure. |
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Sauer, Jaquelini MesserSilva, Eneida Rejane Rabelo daCastro, Raquel Azevedo deGoldraich, Livia AdamsRohde, Luis Eduardo PaimClausell, Nadine OliveiraSilva Neto, Luís Beck da2022-05-19T04:45:45Z2010http://hdl.handle.net/10183/238821000765029Aim.The purpose of this study is to compare clinical assessment of congestion performed by a nurse to that performed bycardiologist and correlate them with NT-ProBNP levels.Background.The nurses’ role in heart failure has been strongly focused in therapeutic, educational and self-care interventions.The diagnostic performance of nurses in heart failure outpatients is not well explored. N-terminal pro-B-type natriuretic peptideis a cardiac marker that reflects elevated filling pressures.Design.Cross-sectional contemporaneous study.Methods.Heart failure outpatients underwent a systematic clinical assessment of clinical congestion score performed by car-diologist and nurse during the same visit. Assessments were performed independently and N-terminal pro-B-type natriureticpeptide levels obtained. The nurses’ ability to classify patients in hemodynamic profile was compared to the cardiologist’s.Results.Eighty-nine assessments were performed in 63 patients with heart failure. The correlation of clinical congestion scoresobtained by nurse with those obtained by cardiologist wasrs=0Æ86;p<0Æ001. The correlation of clinical congestion scoresfrom nurse and cardiologist with levels of N-terminal pro-B-type natriuretic peptide were as follows:rs=0Æ45;p<0Æ0001 andrs=0Æ51, respectively,p<0Æ0001. Patients with clinical congestion score‡3 had levels of NT-ProBNP significantly higher thanthose with clinical congestion score<3, in the assessment performed by the cardiologist (1866 SD 1151 vs. 757 SD 988 pg/ml;p<0Æ0001) and by the nurse (1720 SD 1228 vs. 821 SD 914 pg/ml;p<0Æ0001). The nurse and cardiologist had similarcapacity in classifying patients in congested quadrants (p=0Æ027) or in dry quadrants (p=0Æ03), according to the levels ofN-terminal pro-B-type natriuretic peptide. Area under the receiver-operating characteristic curve of the nurse and cardiologist todetect congestion was, respectively, 0Æ77 and 0Æ72. Conclusions.Our data suggests that nurses trained in heart failure may have a similar performance to that of the cardiologistfor the clinical detection of congestion and assessment of the hemodynamic profile in patients with chronic heart failure.application/pdfengJournal of Clinical Nursing. Oxford. Vol. 19, [no. 23-24 (2010)], p. 3381-3389Enfermagem cardiológicaClinical assessmentHeart failureNatriuretic peptidesNursingNurses' performance in classifying heart failure patients based on physical exam : comparison with cardiologist's physical exam and levels of N-terminal pro-B-type natriuretic peptideEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT000765029.pdf.txt000765029.pdf.txtExtracted Texttext/plain40072http://www.lume.ufrgs.br/bitstream/10183/238821/2/000765029.pdf.txtcc823829d39e13814c839578b7428b55MD52ORIGINAL000765029.pdfTexto completo (inglês)application/pdf229917http://www.lume.ufrgs.br/bitstream/10183/238821/1/000765029.pdf19b4f677059c4054264bf9bc5486604dMD5110183/2388212022-05-24 04:57:51.13oai:www.lume.ufrgs.br:10183/238821Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2022-05-24T07:57:51Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Nurses' performance in classifying heart failure patients based on physical exam : comparison with cardiologist's physical exam and levels of N-terminal pro-B-type natriuretic peptide |
title |
Nurses' performance in classifying heart failure patients based on physical exam : comparison with cardiologist's physical exam and levels of N-terminal pro-B-type natriuretic peptide |
spellingShingle |
Nurses' performance in classifying heart failure patients based on physical exam : comparison with cardiologist's physical exam and levels of N-terminal pro-B-type natriuretic peptide Sauer, Jaquelini Messer Enfermagem cardiológica Clinical assessment Heart failure Natriuretic peptides Nursing |
title_short |
Nurses' performance in classifying heart failure patients based on physical exam : comparison with cardiologist's physical exam and levels of N-terminal pro-B-type natriuretic peptide |
title_full |
Nurses' performance in classifying heart failure patients based on physical exam : comparison with cardiologist's physical exam and levels of N-terminal pro-B-type natriuretic peptide |
title_fullStr |
Nurses' performance in classifying heart failure patients based on physical exam : comparison with cardiologist's physical exam and levels of N-terminal pro-B-type natriuretic peptide |
title_full_unstemmed |
Nurses' performance in classifying heart failure patients based on physical exam : comparison with cardiologist's physical exam and levels of N-terminal pro-B-type natriuretic peptide |
title_sort |
Nurses' performance in classifying heart failure patients based on physical exam : comparison with cardiologist's physical exam and levels of N-terminal pro-B-type natriuretic peptide |
author |
Sauer, Jaquelini Messer |
author_facet |
Sauer, Jaquelini Messer Silva, Eneida Rejane Rabelo da Castro, Raquel Azevedo de Goldraich, Livia Adams Rohde, Luis Eduardo Paim Clausell, Nadine Oliveira Silva Neto, Luís Beck da |
author_role |
author |
author2 |
Silva, Eneida Rejane Rabelo da Castro, Raquel Azevedo de Goldraich, Livia Adams Rohde, Luis Eduardo Paim Clausell, Nadine Oliveira Silva Neto, Luís Beck da |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Sauer, Jaquelini Messer Silva, Eneida Rejane Rabelo da Castro, Raquel Azevedo de Goldraich, Livia Adams Rohde, Luis Eduardo Paim Clausell, Nadine Oliveira Silva Neto, Luís Beck da |
dc.subject.por.fl_str_mv |
Enfermagem cardiológica |
topic |
Enfermagem cardiológica Clinical assessment Heart failure Natriuretic peptides Nursing |
dc.subject.eng.fl_str_mv |
Clinical assessment Heart failure Natriuretic peptides Nursing |
description |
Aim.The purpose of this study is to compare clinical assessment of congestion performed by a nurse to that performed bycardiologist and correlate them with NT-ProBNP levels.Background.The nurses’ role in heart failure has been strongly focused in therapeutic, educational and self-care interventions.The diagnostic performance of nurses in heart failure outpatients is not well explored. N-terminal pro-B-type natriuretic peptideis a cardiac marker that reflects elevated filling pressures.Design.Cross-sectional contemporaneous study.Methods.Heart failure outpatients underwent a systematic clinical assessment of clinical congestion score performed by car-diologist and nurse during the same visit. Assessments were performed independently and N-terminal pro-B-type natriureticpeptide levels obtained. The nurses’ ability to classify patients in hemodynamic profile was compared to the cardiologist’s.Results.Eighty-nine assessments were performed in 63 patients with heart failure. The correlation of clinical congestion scoresobtained by nurse with those obtained by cardiologist wasrs=0Æ86;p<0Æ001. The correlation of clinical congestion scoresfrom nurse and cardiologist with levels of N-terminal pro-B-type natriuretic peptide were as follows:rs=0Æ45;p<0Æ0001 andrs=0Æ51, respectively,p<0Æ0001. Patients with clinical congestion score‡3 had levels of NT-ProBNP significantly higher thanthose with clinical congestion score<3, in the assessment performed by the cardiologist (1866 SD 1151 vs. 757 SD 988 pg/ml;p<0Æ0001) and by the nurse (1720 SD 1228 vs. 821 SD 914 pg/ml;p<0Æ0001). The nurse and cardiologist had similarcapacity in classifying patients in congested quadrants (p=0Æ027) or in dry quadrants (p=0Æ03), according to the levels ofN-terminal pro-B-type natriuretic peptide. Area under the receiver-operating characteristic curve of the nurse and cardiologist todetect congestion was, respectively, 0Æ77 and 0Æ72. Conclusions.Our data suggests that nurses trained in heart failure may have a similar performance to that of the cardiologistfor the clinical detection of congestion and assessment of the hemodynamic profile in patients with chronic heart failure. |
publishDate |
2010 |
dc.date.issued.fl_str_mv |
2010 |
dc.date.accessioned.fl_str_mv |
2022-05-19T04:45:45Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
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http://hdl.handle.net/10183/238821 |
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Journal of Clinical Nursing. Oxford. Vol. 19, [no. 23-24 (2010)], p. 3381-3389 |
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