Key result
Structured risk stratification and shared decision-making improve emergency department disposition in acute heart failure.
Why the study?
Emergency department providers play a critical role in the stabilization and disposition decisions for patients presenting with acute heart failure, but current best practices and decision-making processes need evaluation and improvement.
Highlights the need for improved risk assessment, shared decision making, and alternative care venues for patients presenting to the ED with acute heart failure.
Supports investigation of risk-stratified ED pathways in acute HF; leaves open effects on outcomes and optimal implementation.
Emergency department (ED) providers play a critical role in the stabilization and diagnostic evaluation of patients presenting with acute heart failure (AHF), and EDs are key areas for establishing current best practices and future considerations for the disposition of and decision making for patients with AHF. These elements include accurate risk assessment; response to initial treatment and shared decision making concerning optimal venue of care; reframing of physicians' risk perceptions for patients presenting with AHF; exploration of alternative venues of care beyond hospitalization; population-level changes in demographics, management and outcomes of HF patients; development and testing of data-driven pathways to assist with disposition decisions in the ED; and suggested outcomes for measuring success.
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Sax et al. (2022) conducted a review in Acute Heart Failure. Emergency department disposition of patients with acute heart failure presents an opportunity for improvement through accurate risk assessment, shared decision making, and data-driven pathways.
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