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Gender makes a diff...
Gender makes a difference in the description of dyspnoea in patients with chronic heart failure.
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- Ekman, Inger, 1952 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för omvårdnad,Institute of Nursing
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- Boman, Kurt (author)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin
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Olofsson, Mona (author)
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Aires, Nibia (author)
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- Swedberg, Karl, 1944 (author)
- Gothenburg University,Göteborgs universitet,Hjärt-kärlinstitutionen,Cardiovascular Institute
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(creator_code:org_t)
- 2016-06-23
- 2005
- English.
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In: Eur J Cardiovasc Nurs. - : Oxford University Press (OUP). - 1474-5151. ; 4:2, s. 117-21
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Abstract
Subject headings
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- Background: Dyspnoea is a common symptom of chronic heart failure (CHF). In the community setting, patients with CHF are most often women. Aim: To examine the impact of gender on the description of dyspnoea and to explore which clinical variables support a diagnosis of CHF. Methods: From four primary health care centres, 158 patients with CHF were included. Patients were examined with echocardiography and a cardiologist assessed the diagnosis of CHF. The patients filled in a questionnaire containing 11 descriptors of dyspnoea. Results: A diagnosis of CHF was confirmed in 87 (55%) patients (47 males and 40 females). One descriptor, I feel that I am suffocating, was significantly scored higher in CHF patients ( p=0.014) as compared to non-CHF patients. Three descriptors, My breath does not go in all the way ( p=0.006), I feel that I am suffocating ( p=0.040), and I cannot get enough air ( p=0.0327) were significantly scored higher among men with CHF, compared to no descriptor among women with CHF. Being male (OR=2.7; CI: 1.3–5.6, p=0.008), having diabetes (OR=5.6; CI: 1.7–18.2, p=0.004), IHD (OR=3.3; CI: 1.3–8.5, p=0.014), and a borderline significance for age (OR=1.04; CI: 0.99–1.08, p=0.058) predicted a confirmed diagnosis of CHF. Conclusion: Three descriptors of dyspnoea were associated with CHF among men, whereas no such association was found among women. Our results suggest that gender is an important factor and should—together with age, underlying heart disease, and diabetes—be taken into account when symptoms are evaluated in the diagnosis of CHF in primary care.
Keyword
- Age Factors
- Aged
- Angina Pectoris/complications
- Attitude to Health
- Case-Control Studies
- Diabetes Complications/complications
- Dyspnea/etiology/*psychology
- Echocardiography
- Female
- Heart Failure; Congestive/classification/*complications/diagnosis
- Humans
- Hypertension/complications
- Logistic Models
- Male
- Medical History Taking
- Men/*psychology
- Myocardial Infarction/complications
- Predictive Value of Tests
- Primary Health Care
- Questionnaires
- Semantics
- Severity of Illness Index
- Sex Characteristics
- Sex Factors
- Smoking/adverse effects
- Sweden
- Women/*psychology
Publication and Content Type
- ref (subject category)
- art (subject category)
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