Providers’ assignment of NYHA functional class in patients with heart failure: A vignette study

•HF providers had lower than expected accuracy when assessing NYHA-FC.•Number of patients seen and regularly assigning HF stage influenced accuracy of NYHA-FC assignment.•Improved NYHA-FC accuracy facilitates the management of patients based on the clinical guidelines. Accuracy of New York Heart Ass...

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Bibliographic Details
Published in:Heart & lung 2022-01, Vol.51, p.87-93
Main Authors: Stamp, Kelly D., Prasun, Marilyn A., McCoy, Thomas P., Rathman, Lisa
Format: Article
Language:English
Subjects:
Functional class
Heart Failure
Humans
NYHA functional classification
Surveys and Questionnaires
Symptoms
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Summary:•HF providers had lower than expected accuracy when assessing NYHA-FC.•Number of patients seen and regularly assigning HF stage influenced accuracy of NYHA-FC assignment.•Improved NYHA-FC accuracy facilitates the management of patients based on the clinical guidelines. Accuracy of New York Heart Association Functional Classification (NYHA-FC) I-IV assessment is critical to promoting guideline directed care. Examine providers’ accuracy when diagnosing NYHA-FC I-IV in patients with heart failure (HF). A web-based survey using validated vignettes was conducted with 244 physicians, nurse practitioners (NP), clinical nurse specialists (CNS) and physician assistants (PA) who provide care to patients with HF. Providers comprised of 65% NPs, 19% physicians, 14% CNSs, 2% PAs with an average of 15 years working with HF patients. Accuracy ranged from 36.9% for Class IV to 78.7% for Class I. Increased HF patient volume seen (p=0.024), physician vs. NP/PA/CNS (p=0.021), and typically assigned a HF stage (p
ISSN:0147-9563
1527-3288
DOI:10.1016/j.hrtlng.2021.07.009