Symptom Burden among Hospitalised Older Patients with Heart Failure in Hanoi, Vietnam

Thanh Thi Nguyen, Thanh Xuan Nguyen, Thu Thi Hoai Nguyen, Tam Ngoc Nguyen, Huong Thi Thu Nguyen, Huong Thi Thanh Nguyen, Anh Trung Nguyen, Thang Pham and Huyen Thi Thanh Vu ()
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Thanh Thi Nguyen: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Thanh Xuan Nguyen: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Thu Thi Hoai Nguyen: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Tam Ngoc Nguyen: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Huong Thi Thu Nguyen: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Huong Thi Thanh Nguyen: Dinh Tien Hoang Institute of Medicine, Hanoi 100000, Vietnam
Anh Trung Nguyen: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Thang Pham: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam
Huyen Thi Thanh Vu: Department of Geriatrics, Hanoi Medical University, Hanoi 100000, Vietnam

IJERPH, 2022, vol. 19, issue 20, 1-8

Abstract: This study aimed to assess the symptom burden among older patients hospitalised for heart failure. This hospital-based, cross-sectional study was conducted at the National Geriatric Hospital, Hanoi, Vietnam, from June 2019 to August 2020. Face-to-face interviews were performed to gather the following information: socio-demographic characteristics, heart failure classification, and clinical characteristics (comorbidities, polypharmacy, pro–B-type natriuretic peptide, left ventricular ejection fraction (LVEF), symptom burden, and depression). Symptom burden was assessed using the Edmonton Symptom Assessment Scale (ESAS), and depression was measured using the Patient Health Questionnaire. A total of 314 patients participated in the study. The mean participant age was 72.67 (SD = 9.42) years. The most frequently reported symptoms on the ESAS were shortness of breath (95.5%), fatigue (94.8%), and anxiety (81.2%). In univariate analyses, depression was significantly associated with heart failure class ( p < 0.05). Multivariate linear regression revealed that major depression was significantly associated with total symptom burden score (Beta: 11.74; 95% CI: 9.24–14.23) and LVEF (Beta: −0.09; 95% CI: −0.17–(−0.007)). Patients hospitalised for heart failure experienced a high burden of symptoms. Further studies addressing adverse outcomes and expanding to community-dwelling older people are essential. Palliative care approaches that target symptom reduction should be considered in patients with heart failure.

Keywords: heart failure; symptom burden; Vietnam; palliative care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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