Measuring shortness of breath in heart failure (SOB-HF): development and validation of a new dyspnoea assessment tool.

Published

Journal Article

AIM: To validate a previously developed instrument for measurement of breathlessness in patients with acute heart failure (HF). METHODS AND RESULTS: We tested descriptors of breathlessness among 190 patients seeking care at the emergency department (ED) for acute shortness of breath. Out of 115 patients with confirmed HF, 107 (94%) had dyspnoea as their main symptom. There were no significant differences between those patients with HF and those who were not diagnosed as heart failure (NHF) (n = 75) in the descriptors of breathlessness, although patients with HF scored significantly (P = 0.03) higher on a visual analogue scale (VAS). In addition, they had significantly (P = 0.03) higher breathing frequency than NHF patients and they were significantly (P < 0.001) more likely to be treated with >40 mg furosemide. CONCLUSION: Assessment of acute dyspnoea using a VAS is useful in distinguishing HF from NHF, and may be a more valid approach as compared with using descriptors of intensity of breathlessness in the acute setting.

Full Text

Duke Authors

Cited Authors

  • Ekman, I; Granger, B; Swedberg, K; Stenlund, H; Boman, K

Published Date

  • August 2011

Published In

Volume / Issue

  • 13 / 8

Start / End Page

  • 838 - 845

PubMed ID

  • 21791539

Pubmed Central ID

  • 21791539

Electronic International Standard Serial Number (EISSN)

  • 1879-0844

International Standard Serial Number (ISSN)

  • 1388-9842

Digital Object Identifier (DOI)

  • 10.1093/eurjhf/hfr062

Language

  • eng