Prevalence of nursing diagnosis of decreased cardiac output and the predictive value of defining characteristics in patients under evaluation for heart transplant

Authors

  • Lígia Neres Matos Instituto Nacional de Cardiologia
  • Tereza Cristina Felippe Guimarães Instituto Nacional de Cardiologia
  • Marcos Antônio Gomes Brandão Universidade Federal do Rio de Janeiro; Escola de Enfermagem Anna Nery
  • Deyse Conceição Santoro Universidade Federal do Rio de Janeiro; Escola de Enfermagem Anna Nery

DOI:

https://doi.org/10.1590/S0104-11692012000200013

Keywords:

Heart Failure, Cardiac Output, Nursing Diagnosis

Abstract

The purposes of the study were to identify the prevalence of defining characteristics (DC) of decreased cardiac output (DCO) in patients with cardiac insufficiency under evaluation for heart transplantation, and to ascertain the likelihood of defining characteristics being predictive factors for the existence of reduction in cardiac output. Data was obtained by retrospective documental analysis of the clinical records of right-sided heart catheterizations in 38 patients between 2004 and 2009. The results showed that 71.1% of the patients had decreased cardiac output (measured by cardiac index). The majority of the NANDA-International defining characteristics for DCO were more frequent in individuals with reduced cardiac index levels. The study emphasizes the odds ratio (OR) for increased Systemic Vascular Resistance of OR=4.533, of the third heart sound with OR=3.429 and the reduced ejection fraction with OR=2.850. By obtaining the predictive values for the defining characteristics the study identifies them as diagnostic indicators of decreased cardiac output.

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Published

2012-04-01

Issue

Vol. 20 No. 2 (2012)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Prevalence of nursing diagnosis of decreased cardiac output and the predictive value of defining characteristics in patients under evaluation for heart transplant. (2012). Revista Latino-Americana De Enfermagem, 20(2), 307-315. https://doi.org/10.1590/S0104-11692012000200013