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Acute decompensated heart failure in the emergency department: Identification of
early predictors of outcome
#MMPMID28682895
Castello LM
; Molinari L
; Renghi A
; Peruzzi E
; Capponi A
; Avanzi GC
; Pirisi M
Medicine (Baltimore)
2017[Jul]; 96
(27
): e7401
PMID28682895
show ga
Identification of clinical factors that can predict mortality and hospital early
readmission in acute decompensated heart failure (ADHF) patients can help
emergency department (ED) physician optimize the care-path and resource
utilization.We conducted a retrospective observational study of 530 ADHF patients
evaluated in the ED of an Italian academic hospital in 2013.Median age was 82
years, females were 55%; 31.1% of patients were discharged directly from the ED
(12.5% after short staying in the observation unit), while 68.9% were admitted to
a hospital ward (58.3% directly from the ED and 10.6% after a short observation).
At 30 days, readmission rate was 17.7% while crude mortality rate was 9.4%; this
latter was higher in patients admitted to a hospital ward in comparison to those
who were discharged directly from the ED (12.6% vs. 2.4%, P? 104?mm Hg, POS?>?94%, may guide the ED
physician to identify low-risk patients who can be safely discharged directly
from the emergency room or after observation unit stay.
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