Patients with acute heart failure in the emergency department

Do they all need to be admitted?

Peter Pang, Robert Jesse, Sean P. Collins, Alan Maisel

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Hospitalization for acute heart failure (AHF) is associated with a high rate of postdischarge mortality and readmissions, as well as high financial costs. Reducing 30-day readmissions after AHF hospitalization is a major national quality goal intended to both improve patient outcomes and reduce costs. Although the decision threshold for the vast majority of hospitalized AHF patients lies in the emergency department (ED), the role of the ED in reducing preventable admissions has largely been ignored. While admissions for AHF also originate from outpatient clinics, the greatest opportunity to reduce inpatient admissions lies with the cohort of patients who present to the ED with AHF. Safe discharge mandates interdisciplinary collaboration, close follow-up, careful scrutiny of psychosocial and socioeconomic factors, and a shared definition of risk stratification. Although additional research is needed, strategies for lower risk patients can and should be initiated to safely discharge AHF patients from the ED.

Original languageEnglish (US)
Pages (from-to)900-903
Number of pages4
JournalJournal of Cardiac Failure
Volume18
Issue number12
DOIs
StatePublished - Dec 2012
Externally publishedYes

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Hospital Emergency Service
Heart Failure
Hospitalization
Costs and Cost Analysis
Ambulatory Care Facilities
Inpatients
Psychology
Mortality
Research

Keywords

  • emergency department
  • Heart failure
  • natriuretic peptides
  • readmission

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Patients with acute heart failure in the emergency department : Do they all need to be admitted? / Pang, Peter; Jesse, Robert; Collins, Sean P.; Maisel, Alan.

In: Journal of Cardiac Failure, Vol. 18, No. 12, 12.2012, p. 900-903.

Research output: Contribution to journalArticle

Pang, Peter ; Jesse, Robert ; Collins, Sean P. ; Maisel, Alan. / Patients with acute heart failure in the emergency department : Do they all need to be admitted?. In: Journal of Cardiac Failure. 2012 ; Vol. 18, No. 12. pp. 900-903.
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