Key result
Discharge following emergency department observation unit care for acute heart failure was associated with similar 30-day readmission rates compared to admission (HR 0.99; 95% CI 0.47-2.10).
Why the study?
Does discharge following accelerated treatment protocol-driven care in an emergency department observation unit improve resource use without increasing readmissions in acute decompensated heart failure patients?
Population
358 selected acute decompensated heart failure patients who received treatment on an accelerated treatment…
Comparison
Discharge following accelerated treatment… vs Admission following accelerated treatment…
Design
Cohort
Follow-up
90 days
Authors
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Supports observation unit discharge for selected acute HF without excess readmissions; leaves open need for randomized confirmation before practice change.
Cohort (n=358)
Yes
Does discharge following accelerated treatment protocol-driven care in an emergency department observation unit improve resource use without increasing readmissions in acute decompensated heart failure patients?
Hazard Ratio: 0.99 (95% CI 0.47–2.1)
Managing selected acute heart failure patients with a rapid treatment protocol in an observation unit allows for safe discharge with fewer bed-days and no significant increase in 30- or 90-day readmission rates compared to hospital admission.
Schrager et al. (2013) conducted a cohort in Acute decompensated heart failure (AHF) (n=358). Discharge following observation unit treatment vs. Admission following observation unit treatment was evaluated on Readmission within 30 days of hospital discharge (HR 0.99, 95% CI 0.47 to 2.10). Discharge following emergency department observation unit care for acute heart failure was associated with similar 30-day readmission rates compared to admission (HR 0.99; 95% CI 0.47-2.10).
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