PRIME PubMed | CHF-PROM: validation of a patient-reported outcome measure for patients with chronic heart failure (2024)

FAQs

What are the outcome measures for heart failure? ›

Outcome measures

With respect to patients with heart failure, widely used outcomes measures include mortality and readmission following hospitalization. These outcomes are appealing on a clinical and policy level because they occur relatively frequently in patients who have been hospitalized with heart failure.

A UK population-based cohort (55,959 patients) study between 2000 and 2017 found that 30,906 patients died during that period and heart failure was listed as the primary cause of death in 7.2% [Taylor, 2019]. In this study — 1, 5, and 10 year survival rates were 80.8%, 48.2%, and 26.2%.

One study says that people with congestive heart failure have a life span 10 years shorter than those who don't have heart failure. Another study showed that the survival rates of people with chronic heart failure were: 80% to 90% for one year. 50% to 60% for year five.

Expected outcomes:

Patient will display hemodynamic stability with vital signs, cardiac output, and renal perfusion within normal limits. Patient will participate in activities that reduce the workload of the heart. Patient will report an absence of chest pain or shortness of breath.

Goals and expected outcomes may also include: The patient will exhibit optimal cardiac output, indicated by vital signs within acceptable ranges, absence/control of dysrhythmias, and absence of heart failure symptoms. The patient will engage in activities that reduce cardiac workload.

The index is calculated using the following formula: 220 - age - heart rate + systolic blood pressure - (creatinine ×10).

Abstract. Heart failure is a clinical syndrome that results when the heart is unable to provide sufficient blood flow to meet metabolic requirements or accommodate systemic venous return.

Many factors can affect a person's life expectancy with congestive heart failure (CHF), such as their age, the stage of their condition, and the strength of their heart function. CHF is a chronic, progressive condition that affects the heart's ability to pump blood around the body.

While no one can predict exactly how heart failure will affect someone's life or how it may shorten a life, in general, more than half of all people diagnosed with congestive heart failure will survive for five years. About 35% will survive for 10 years.

Stage 4 heart failure is the most severe, and you will be showing symptoms regardless of what activity you are doing. You may feel issues like shortness of breath, nausea, light-headedness, chest pain, and swelling even when you are completely at rest. Generally speaking, stage 4 heart failure is treated in hospital.

What's the best thing to drink with congestive heart failure? ›

Water is the drink of choice for heart health. If you're thirsty, drink water.

Heart failure is a chronic condition that worsens overtime without the proper treatment and management. Symptoms of heart failure can progress anywhere from a few months to decades.

It's important to avoid exercise that involves heavy weight-lifting, or holding your breath. Don't do any exercises that use your whole body as a weight, such as press-ups or planks. And be careful if you're getting in the pool.

Currently, core measures for HF include: use of an angiotensin-converting enzyme inhibitor (ACEI) or an angiotensin II receptor blocker (ARB) for left ventricular systolic dysfunction (LVSD) left ventricular function (LVF) assessment. smoking cessation counseling.

Ejection fraction measures how well your heart pumps. This helps diagnose the type of heart failure you have and guides your treatment. If 40% or less of the blood in your left ventricle is pumped out in one beat, you have heart failure with reduced ejection fraction.

Ejection fraction.

Ejection fraction is a measurement of the percentage of blood leaving your heart each time it squeezes. This measurement is taken during an echocardiogram. The result helps classify heart failure and guides treatment. An ejection fraction of 50% or higher is considered ideal.

Left untreated, heart failure is generally a progressive condition. The goal of treatments for heart failure is to relieve symptoms; reduce the chances that you will develop complications; and slow, stop, or reverse the progression of the underlying process.