Nana Waldréus1, Martje H L van der Wal2, Robert G Hahn3, Dirk J van Veldhuisen2, Tiny Jaarsma4. 1. Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Linköping, Sweden; Department of Research, Södertälje Sjukhus, Södertälje, Sweden. Electronic address: waldreus@tele2.se. 2. Department of Cardiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands. 3. Department of Research, Södertälje Sjukhus, Södertälje, Sweden; Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden. 4. Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Abstract
BACKGROUND: Thirst is often increased in patients with heart failure (HF) and can cause distress during the course of the condition. The aim of the present study was to describe the trajectory of thirst during an 18-month period and to identify variables associated with persistent thirst in patients with HF. METHODS AND RESULTS: Data were collected from 649 patients with HF with the use of the Revised Heart Failure Compliance Scale at 1, 6, 12, and 18 months after a period of hospital treatment for worsening HF. Thirst trajectory was described for the 4 follow-up visits and logistic regression analysis was used to identify factors independently associated with persistent thirst. In total, 33% (n = 212) of the patients reported thirst on ≥1 occasions and 34% (n = 46) continued to have thirst at every follow-up visit. Nineteen percent (n = 121) of the patients had persistent thirst. Patients with persistent thirst were more often younger and male and had more HF symptoms. Higher body mass index and serum urea also increased the risk of persistent thirst. CONCLUSIONS: Patients with HF who were thirsty at the 1-month follow-up were more often also thirsty at subsequent visits. Assessment of thirst is warranted in clinical practice because one-fifth of patients suffer from persistent thirst.
BACKGROUND: Thirst is often increased in patients with heart failure (HF) and can cause distress during the course of the condition. The aim of the present study was to describe the trajectory of thirst during an 18-month period and to identify variables associated with persistent thirst in patients with HF. METHODS AND RESULTS: Data were collected from 649 patients with HF with the use of the Revised Heart Failure Compliance Scale at 1, 6, 12, and 18 months after a period of hospital treatment for worsening HF. Thirst trajectory was described for the 4 follow-up visits and logistic regression analysis was used to identify factors independently associated with persistent thirst. In total, 33% (n = 212) of the patients reported thirst on ≥1 occasions and 34% (n = 46) continued to have thirst at every follow-up visit. Nineteen percent (n = 121) of the patients had persistent thirst. Patients with persistent thirst were more often younger and male and had more HF symptoms. Higher body mass index and serum urea also increased the risk of persistent thirst. CONCLUSIONS:Patients with HF who were thirsty at the 1-month follow-up were more often also thirsty at subsequent visits. Assessment of thirst is warranted in clinical practice because one-fifth of patients suffer from persistent thirst.
Authors: Alanna A Morris; Aditi Nayak; Yi-An Ko; Melroy D'Souza; G Michael Felker; Margaret M Redfield; W H Wilson Tang; Jeffrey M Testani; Javed Butler Journal: Circ Heart Fail Date: 2020-07-08 Impact factor: 8.790
Authors: Clara Sandra de Araujo Sugizaki; Clarice Carneiro Braga; Ana Tereza Vaz de Souza Freitas; Maria do Rosário Gondim Peixoto Journal: J Bras Nefrol Date: 2020-03-13