Kenneth M Faulkner1, Corrine Y Jurgens2, Quin E Denfeld3, Karen S Lyons2, Jessica Harman Thompson4, Christopher S Lee5. 1. William F. Connell School of Nursing, Boston College, 140 Commonwealth Avenue, Maloney Hall, Chestnut Hill, MA 02467, United States; Stony Brook University School of Nursing, Nicolls Road, Health Sciences Center Level 2 - Room 204, Stony Brook, NY 11794, United States. Electronic address: faulknke@bc.edu. 2. William F. Connell School of Nursing, Boston College, 140 Commonwealth Avenue, Maloney Hall, Chestnut Hill, MA 02467, United States. 3. Oregon Health & Science University School of Nursing, 3455 SW U.S. Veterans Hospital Road | Mailcode: SN-ORD, Portland, OR 97239, United States. 4. William F. Connell School of Nursing, Boston College, 140 Commonwealth Avenue, Maloney Hall, Chestnut Hill, MA 02467, United States; University of Kentucky College of Nursing, 751 Rose Street, Lexington, KY 40536-0232, United States. Electronic address: harmanje@bc.edu. 5. William F. Connell School of Nursing, Boston College, 140 Commonwealth Avenue, Maloney Hall, Chestnut Hill, MA 02467, United States. Electronic address: leeddo@bc.edu.
Abstract
BACKGROUND: Dyspnea is a common symptom of heart failure (HF) but dyspnea burden is highly variable. OBJECTIVES: Identify distinct profiles of dyspnea burden and identify predictors of dyspnea symptom profile. METHODS: A secondary analysis of data from five studies completed at Oregon Health and Science University was conducted. The Heart Failure Somatic Perception Scale was used to measure dyspnea burden. Latent class mixture modeling identified distinct profiles of dyspnea burden in a sample of HF patients (n = 449). Backwards stepwise multinomial logistic regression identified predictors of latent profile membership. RESULTS: Four profiles of dyspnea burden were identified: no dyspnea/not bothered by dyspnea, mild dyspnea, moderate exertional dyspnea, and moderate exertional dyspnea with orthopnea and PND. Higher age was associated with greater likelihood of not being bothered by dyspnea than having moderate exertional dyspnea with orthopnea and PND. Higher NYHA class, anxiety, and depression were associated with greater likelihood of greater dyspnea burden. CONCLUSIONS: Burden of dyspnea is highly variable among HF patients. Clinicians should account for the nuances of dyspnea and the activities that induce dyspnea when assessing HF patients.
BACKGROUND:Dyspnea is a common symptom of heart failure (HF) but dyspnea burden is highly variable. OBJECTIVES: Identify distinct profiles of dyspnea burden and identify predictors of dyspnea symptom profile. METHODS: A secondary analysis of data from five studies completed at Oregon Health and Science University was conducted. The Heart Failure Somatic Perception Scale was used to measure dyspnea burden. Latent class mixture modeling identified distinct profiles of dyspnea burden in a sample of HF patients (n = 449). Backwards stepwise multinomial logistic regression identified predictors of latent profile membership. RESULTS: Four profiles of dyspnea burden were identified: no dyspnea/not bothered by dyspnea, mild dyspnea, moderate exertional dyspnea, and moderate exertional dyspnea with orthopnea and PND. Higher age was associated with greater likelihood of not being bothered by dyspnea than having moderate exertional dyspnea with orthopnea and PND. Higher NYHA class, anxiety, and depression were associated with greater likelihood of greater dyspnea burden. CONCLUSIONS: Burden of dyspnea is highly variable among HF patients. Clinicians should account for the nuances of dyspnea and the activities that induce dyspnea when assessing HF patients.
Authors: Christopher S Lee; James O Mudd; Shirin O Hiatt; Jill M Gelow; Christopher Chien; Barbara Riegel Journal: Eur J Cardiovasc Nurs Date: 2014-06-30 Impact factor: 3.908
Authors: Debra K Moser; Susan K Frazier; Linda Worrall-Carter; Martha J Biddle; Misook L Chung; Kyoung Suk Lee; Terry A Lennie Journal: Eur J Cardiovasc Nurs Date: 2010-07-15 Impact factor: 3.908
Authors: Christopher S Lee; James O Mudd; Jonathan Auld; Jill M Gelow; Shirin O Hiatt; Christopher V Chien; Julie T Bidwell; Karen S Lyons Journal: Eur J Cardiovasc Nurs Date: 2017-03-15 Impact factor: 3.908
Authors: Kenneth M Faulkner; Corrine Y Jurgens; Quin E Denfeld; Christopher V Chien; Jessica Harman Thompson; Jill M Gelow; Kathleen L Grady; Christopher S Lee Journal: Eur J Cardiovasc Nurs Date: 2022-10-14 Impact factor: 3.593
Authors: Quin E Denfeld; S Albert Camacho; Nathan Dieckmann; Shirin O Hiatt; Mary Roberts Davis; Daniela V Cramer; Allissah Rupert; Beth A Habecker; Christopher S Lee Journal: J Card Fail Date: 2022-01-16 Impact factor: 6.592