Key result
Higher self-assigned NYHA class in heart failure patients was associated with an increased 6-month readmission rate (RR 1.21; 95% CI 1.04-1.41; P=.02) and higher mortality (HR 1.84).
Why the study?
Does patients' self-assessment of functional status by NYHA class predict hospital admissions, quality of life, and mortality in adult patients with heart failure?
Observational (n=293)
Yes
Does patients' self-assessment of functional status by NYHA class predict hospital admissions, quality of life, and mortality in adult patients with heart failure?
Relative Risk: 1.21 (95% CI 1.04–1.41)
p-value: p=.02
Patient self-assessed NYHA class is a valid prognostic predictor for hospitalizations, quality of life, and mortality in heart failure patients.
No takes yet. Share an insight, caveat, or question.
May support self-assigned NYHA for HF risk stratification; leaves open incremental value over clinician assessment.
Holland et al. (2009) conducted an observational in Heart failure (n=293). Higher self-assigned NYHA class (SA-NYHA) vs. Lower self-assigned NYHA class was evaluated on Number of emergency admissions over 6 months (RR 1.21, 95% CI 1.04-1.41, p=.02). Higher self-assigned NYHA class in heart failure patients was associated with an increased 6-month readmission rate (RR 1.21; 95% CI 1.04-1.41; P=.02) and higher mortality (HR 1.84).
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