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Current Emergency Department Disposition of Patients With Acute Heart Failure: An Opportunity for Improvement

Year: 2022
Type: review
Abstract: Emergency department (ED) providers play a critical role in the stabilization and diagnostic evaluation of patients presenting with acute heart failure (AHF), and EDs are key areas for establishing current best practices and future considerations for the disposition of and decision making for patients with AHF. These elements include accurate risk assessment; response to initial treatment and shared decision making concerning optimal venue of care; reframing of physicians' risk perceptions for patients presenting with AHF; exploration of alternative venues of care beyond hospitalization; population-level changes in demographics, management and outcomes of HF patients; development and testing of data-driven pathways to assist with disposition decisions in the ED; and suggested outcomes for measuring success.
DOI: 10.1016/j.cardfail.2022.05.006
Authors: DANA R. Sax, DUSTIN G. MARK, JAMAL S. RANA, MARY E. REED, JOANN LINDENFELD, LYNNE W. STEVENSON, ALAN B. STORROW, JAVED BUTLER, PETER S. PANG, SEAN P. COLLINS
Institutions: Kaiser Permanente, Kaiser Permanente Richmond Medical Center, Kaiser Permanente Oakland Medical Center, Kaiser Permanente Northern California, Vanderbilt University Medical Center, University of Mississippi, Indiana University Indianapolis
Language: English
Field: Medicine
Open Access status: hybrid
Estimated APC paid: $3,130
OpenAlex ID: W4282019419
FWCI: 0.762
Cites: 81
Cited by: 17
Related to: 10