Anaemia in patients with CHF is common but not well investigated. The aetiology of anaemia is usually multifactorial and not easily predicted. Patients with anaemia and CHF have poorer outcomes. There needs to be more awareness among clinicians about the importance of investigating and treating anaemia in patients with CHF.
Objective: To determine how well anaemia is investigated, its causes, and its impact on survival in a cohort of patients with chronic heart failure (CHF).Design: Retrospective analysis of longitudinal data collected during routine management of patients admitted with CHF. Data was compared between anaemic and nonanaemic patients.Setting: Australian tertiary hospital. Patients, Participants: 1021 patients admitted with CHF between 1997 and 2005 were included. Anaemia was defined as a haemoglobin concentration <110 g/L.Results: 20.3% of CHF patients were anaemic. Anaemic patients were more likely to be older (p = 0.017), female (p = 0.036), and have a higher prevalence of chronic renal failure (p = 0.001) and peripheral vascular disease (p = 0.005). Anaemic patients had a higher use of medications for angina (p = 0.003) and diabetes mellitus (p = 0.01) despite a similar prevalence of these conditions compared to non-anaemic patients. Only 60% of patients had basic investigations for anaemia (i.e. iron studies, vitamin B12, folate and thyroid function tests). 63.8% of patients had at least two factors contributing to anaemia. These factors could not be predicted based on abnormalities in mean corpuscular volume (MCV). Anaemic patients had a longer length of hospital stay, were more likely to be discharged to a residential care facility, and had a higher mortality overall.Conclusions: Anaemia in CHF patients is not well investigated, and the causes of anaemia are usually multifactorial and not easily predictable. Anaemic patients have more comorbidities, a longer length of hospital stay, a lower level of functioning, and a higher mortality rate independent of the underlying causes.Aims: To assess the psychometric quality of the Needs Assessment Tool: Progressive Disease -Heart Failure (NAT: PD-HF).Methods: A convenience sample of multidisciplinary health professionals working in heart failure care were invited to comment on the potential of adapting a val-
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