Why the study?
Despite improvements in medical management, heart failure mortality, hospitalization rates, and treatment costs remain suboptimal.
Does intermittent empirical intravenous diuretic therapy reduce readmission rates in patients with congestive heart failure and frequent hospitalizations?
Case Report (n=3)
No
Does intermittent empirical intravenous diuretic therapy reduce readmission rates in patients with congestive heart failure and frequent hospitalizations?
Outpatient intermittent empirical intravenous furosemide administration may dramatically reduce readmission rates and improve clinical status in heart failure patients with frequent decompensations.
Answers are grounded in this paper and cite their sources.
May reduce readmissions in frequent HF decompensators; hypothesis-generating case series leaves open efficacy pending randomized trials.
Improvements in the medical management of heart failure have changed the course of the disease. However, mortality rates, hospitalization rates, and treatment costs are not at desired levels. Diuretics have been widely used in the treatment of congestion in heart failure patients. The following case reports represent a special patient group treated and followed by cardiology clinic. Treatment approach of each case report has been tailored on an individual basis depending on the clinical course and hospitalization rates of patients. Authors have highlighted and discussed the common aspects and future perspectives of their cases in which post-discharge intermittent empirical intravenous diuretic administration dramatically improved the clinical status and readmission number due to decompensated congestive heart failure. This is a relatively new and promising approach, which has been thought to cease the recycle of diuretic resistance and silent increase of fluid congestion in patients with congestive heart failure and frequent hospitalization.
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Yetkın et al. (2020) conducted a case report in Congestive heart failure (n=3). Intermittent empirical intravenous diuretics (furosemide) was evaluated on Hospitalization frequency due to decompensation of heart failure.
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