Assessment of Dyspnea in Acute Heart Failure Patients with Three Scales in the Emergency Department

Authors : Canan KARA GENOĞLU, Ataman KÖSE, Seyran BOZKURT BABUŞ, İbrahim TOKER, Semra ERDOĞAN, Necati MUŞLU, Ahmet ÇELİK

Pages : 1-6

Doi:10.54996/anatolianjem.1053506

View : 13 | Download : 5

Publication Date : 2023-03-08

Article Type : Research Paper

Abstract :Aim: This study aimed to compare the three dyspnea scales insert ignore into journalissuearticles values(Likert, VAS, and NRS); in patients with acute heart failure insert ignore into journalissuearticles values(AHF); in the emergency department insert ignore into journalissuearticles values(ED);. Materials and Methods: This study enrolled 114 patients prospectively diagnosed with AHF in the ED. We assessed the dyspnea scales for severity at admission and the 4th hour. We used the Likert scale, Visual Analogue Scale insert ignore into journalissuearticles values(VAS);, and the Numerical Rating Scale insert ignore into journalissuearticles values(NRS);. Results: Sixty-five patients were women. The mean age of the patients was 72.1 ± 11.7 years. 74.1% of the patients whose dyspnea was relieved were discharged. Seventy-seven of the patients were discharged from ED, while 37 were hospitalized, and 51.7% of the hospitalized patients had no improvement in dyspnea. The severity of dyspnea decreased after the treatment on each scale insert ignore into journalissuearticles values(p< 0.05);. The 4th-hour scores were lower for all three scales insert ignore into journalissuearticles values(p< 0.01);, but VAS and NRS scores on the 4th hour were higher in hospitalized patients than in discharged insert ignore into journalissuearticles values(p< 0.01);. There was a similarly significant relationship between the admission and 4th hour of dyspnea scales insert ignore into journalissuearticles values(p<0.001);. Conclusion: Dyspnea scales are compatible with dyspnea and clinical relief in patients with AHF in the ED, whereas improvement in dyspnea is insufficient to decide whether the patient should be hospitalized or discharged.
Keywords : Acil servis, kalp yetmezliği, nefes darlığı, dispne skalaları