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The Value of Admission Clinical Data for Diagnosing Heart Failure in Long-term Care

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dc.contributor.authorHeckman, George A.
dc.contributor.authorFoebel, Andrea Dawn
dc.contributor.authorDubin, Joel A.
dc.contributor.authorNg, Jennifer
dc.contributor.authorTurpie, Irene D.
dc.contributor.authorHussack, Patricia
dc.contributor.authorMcKelvie, Robert S.
dc.date.accessioned2017-04-21T14:36:55Z
dc.date.available2017-04-21T14:36:55Z
dc.date.issued2013-12-03
dc.description.abstractBackground Heart failure (HF) is common in long-term care (LTC). Diagnostic uncertainty is important barrier to optimal HF management, stemming from inadequate health information transfer upon LTC admission. We determine the utility of admission clinical information to confirm a HF diagnosis in new LTC residents. Methods This was a prospective cohort study. From February 2004 to November 2006, information about new residents from 41 LTC homes in Ontario, Canada, was collected from residents and caregivers, and all available health records. A prior HF diagnosis was confirmed by consensus review of available data by two independent experts. Multivariate modelling was utilized to determine the utility of the admission clinical assessment in confirming a prior HF diagnosis. Results A total of 449 residents were included for analysis, aged84.3±6.5 years, and 21.6% had a prior HF diagnosis. The most useful clinical item for diagnosing HF was a “history of HF”. The final model included “history of HF’ (OR [odds ratio] 13.66, 95% CI 6.61–28.24), “fluid on the lungs” (OR 2.01, 95% CI 1.04–3.89), “orthopnea” (OR 1.76, 95% CI 0.93–3.33), “taking β-blocker” (OR 2.09, 95% CI 1.10– 3.94), “taking loop diuretics” (OR 2.11, 95% CI 1.12–3.98), and “history of coronary artery disease” (OR 2.83, 95% CI 1.42–5.64). Conclusion Elements of the clinical assessment for new LTC residents can help confirm a prior HF diagnosis. An admission history of HF is highly predictiveen
dc.description.sponsorshipCanadian Institutes of Health Research (CIHR; Study ID 117947-BCA-CEBA-126289)en
dc.identifier.urihttp://dx.doi.org/10.5770/cgj.16.70
dc.identifier.urihttp://hdl.handle.net/10012/11696
dc.language.isoenen
dc.publisherCanadian Geriatrics Societyen
dc.rightsAttribution-NonCommercial-NoDerivs 2.5 Canada*
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.5/ca/*
dc.subjectHeart Failureen
dc.subjectElderlyen
dc.subjectNursing Homeen
dc.subjectLong-Term Careen
dc.subjectDiagnosisen
dc.subjectTransitionen
dc.titleThe Value of Admission Clinical Data for Diagnosing Heart Failure in Long-term Careen
dc.typeArticleen
dcterms.bibliographicCitationHeckman, G. A., Foebel, A. D., Dubin, J. A., Ng, J., Turpie, I. D., Hussack, P., & McKelvie, R. S. (2013). The Value of Admission Clinical Data for Diagnosing Heart Failure in Long-term Care. Canadian Geriatrics Journal, 16(4). https://doi.org/10.5770/cgj.16.70en
uws.contributor.affiliation1Faculty of Applied Health Sciencesen
uws.contributor.affiliation2School of Public Health and Health Systemsen
uws.peerReviewStatusRevieweden
uws.scholarLevelFacultyen
uws.typeOfResourceTexten
uws.typeOfResourceTexten

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