Disposition of emergency department patients diagnosed with acute heart failure: an international emergency medicine perspective.
Publication/Presentation Date
2-1-2017
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;
Volume
24
Issue
1
First Page
2
Last Page
12
ISSN
1473-5695
Published In/Presented At
Miró, Ò., Levy, P. D., Möckel, M., Pang, P. S., Lambrinou, E., Bueno, H., Hollander, J. E., Harjola, V. P., Diercks, D. B., Gray, A. J., DiSomma, S., Papa, A. M., & Collins, S. P. (2017). Disposition of emergency department patients diagnosed with acute heart failure: an international emergency medicine perspective. European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 24(1), 2–12. https://doi.org/10.1097/MEJ.0000000000000411
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
27254376
Department(s)
Administration and Leadership
Document Type
Article