Heart failure & cardiomyopathies

Insights into Clinical Practice: A National Survey on Fluid Intake Management in Heart Failure

ESC Heart FailPublished web-based survey

Authors' conclusion

This study shows that there are differences in clinical practice regarding healthcare professionals' recommendations on fluid intake and fluid restriction. These differences may result in patients with HF receiving varied and inconsistent care. Recommendations were primarily based on each healthcare professional's individual opinion rather than on evidence and guidelines.

Study context

Population
Physicians and registered nurses (RN) treating patients with heart failure (HF) at hospitals across all healthcare regions in Swedenphysicians and RNs across 45 hospitals completed the survey (75 hospitals invited)
Participants
646 physicians
Exposure
RNs vs physicians, care setting and work experience
Outcome
Recommend fluid restriction for all or some patients with HF
Methodological detailsnational
  • National

Main finding

As reported in the abstract

Overall

93.8%

Observational data: associations, not effects.

Further findings

Recommend fluid restriction for all patients with HF · significantly higher with RNs

P < 0.001

Believe fluid restriction is an effective treatment strategy to prevent congestion

Overall
49.2%

Recommend fluid restriction routinely

Overall
29.3%

Knowledge of existing local guidelines regarding fluid restriction

Lacked knowledge
One-third

Recommendations and management by professional role, care setting and work experience

Significant differences found

Original publication

Insights into Clinical Practice: A National Survey on Fluid Intake Management in Heart Failure. ESC Heart Fail. Published 18 March 2025. doi:10.1002/ehf2.15273

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.