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Nurses’ performance in classifying heart failure patients based on physical exam: comparison with cardiologist’s physical exam and levels of N‐terminal pro‐B‐type natriuretic peptide

Author

Listed:
  • Jaquelini Sauer
  • Eneida R Rabelo
  • Raquel A Castro
  • Livia Goldraich
  • Luis E Rohde
  • Nadine Clausell
  • Luis Beck‐da‐Silva

Abstract

Aim. The purpose of this study is to compare clinical assessment of congestion performed by a nurse to that performed by cardiologist and correlate them with NT‐ProBNP levels. Background. The nurses’ role in heart failure has been strongly focused in therapeutic, educational and self‐care interventions. The diagnostic performance of nurses in heart failure outpatients is not well explored. N‐terminal pro‐B‐type natriuretic peptide is a cardiac marker that reflects elevated filling pressures. Design. Cross‐sectional contemporaneous study. Methods. Heart failure outpatients underwent a systematic clinical assessment of clinical congestion score performed by cardiologist and nurse during the same visit. Assessments were performed independently and N‐terminal pro‐B‐type natriuretic peptide levels obtained. The nurses’ ability to classify patients in hemodynamic profile was compared to the cardiologist’s. Results. Eighty‐nine assessments were performed in 63 patients with heart failure. The correlation of clinical congestion scores obtained by nurse with those obtained by cardiologist was rs = 0·86; p

Suggested Citation

  • Jaquelini Sauer & Eneida R Rabelo & Raquel A Castro & Livia Goldraich & Luis E Rohde & Nadine Clausell & Luis Beck‐da‐Silva, 2010. "Nurses’ performance in classifying heart failure patients based on physical exam: comparison with cardiologist’s physical exam and levels of N‐terminal pro‐B‐type natriuretic peptide," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(23‐24), pages 3381-3389, December.
    • Handle: RePEc:wly:jocnur:v:19:y:2010:i:23-24:p:3381-3389
    DOI: 10.1111/j.1365-2702.2010.03403.x
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