Disposition of emergency department patients diagnosed with acute heart failure: an international emergency medicine perspective
Year: 2016
Type: review
Abstract: Many patients with acute heart failure are initially managed in emergency departments (EDs) worldwide. Although some require hospitalization for further management, it is likely that a sizeable proportion could be safely discharged either directly from the ED or after a more extended period of management in an observation-type unit. Identification of low-risk patients who are safe for such an approach to management continues to be a global unmet need. This is driven in part by a lack of clarity on postdischarge outcomes for lower risk patients and a nonexistent consensus on what may be acceptable event rates. The current paper reviews previous studies carried out on patients directly discharged from the ED, suggests a general disposition algorithm and focuses on discharge metrics, which are based on both evidence and expert opinion. In addition, we propose that the following variables be considered for future determination of acceptable event rates: (a) baseline characteristics and risk status of the patient; (b) access to follow-up;
Institutions: Hospital Clínic de Barcelona, Consorci Institut D'Investigacions Biomediques August Pi I Sunyer, Wayne State University, Charité – Universitätsmedizin Berlin, Indiana University Indianapolis, Indiana University School of Medicine, Cyprus University of Technology, Universidad Complutense de Madrid, Research Institute Hospital 12 de Octubre, Hospital Universitario 12 De Octubre, Thomas Jefferson University, University of Helsinki, Helsinki University Hospital, The University of Texas Southwestern Medical Center, Edinburgh Royal Infirmary, University of Edinburgh, Azienda Ospedaliera Sant'Andrea, Sapienza University of Rome, Einstein Medical Center Montgomery, Vanderbilt University, Veterans Health Administration
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W2411903012