PMID: 11927779Apr 3, 2002Paper

Effective observation unit treatment of decompensated heart failure

Congestive Heart Failure
William Franklin PeacockNancy M Albert

Abstract

There is little information on the effectiveness of emergency department (ED) observation unit (OU) heart failure (HF) therapy. The authors' objective was to evaluate outcomes after implementation of an ED-OU treatment protocol for HF exacerbation. Unblinded assessment of the effectiveness of an HF protocol was performed, controlled by outcome for 9 months prior to implementation. This included diagnostic and therapeutic algorithms, cardiology consultation, close monitoring, patient education, and discharge planning. Adverse outcomes were defined as the 90-day rates of ED HF revisits, hospital HF readmissions, or death, as determined by chart review, computer database search, and phone follow-up. One hundred fifty-four patients were enrolled; 50 entered before, and 104 after protocol implementation. Only six (12%) in the preprotocol and one (1%) of the postprotocol group were lost to follow-up. After an OU visit, postprotocol 90-day ED HF revisit rates declined 56% (0.90-0.51; p<0.0000) and the 90-day HF rehospitalization rate decreased 64% (0.77-0.50; p=0.007). The 90-day rates of death and OU HF readmission decreased from 4% to 1% (p=0.096) and 18% to 11% (p=0.099), respectively. An intensive outpatient ED OU HF management pr...Continue Reading

References

Dec 1, 1990·Journal of the American Geriatrics Society·J M VinsonT McNamara
Dec 23, 1971·The New England Journal of Medicine·P A McKeeW B Kannel
Mar 15, 1995·Annals of Internal Medicine·C M AshtonL Wu
Apr 1, 1997·Academic Medicine : Journal of the Association of American Medical Colleges·L J KrootD Musick
Sep 10, 1999·The American Journal of Cardiology·M Packer, A B Miller
Feb 24, 2001·Emergency Medicine Clinics of North America·W F Peacock, N M Albert

❮ Previous
Next ❯

Citations

Apr 6, 2005·Heart Failure Reviews·W Franklin Peacock, Charles L Emerman
Oct 14, 2008·Neurocritical Care·Latha G SteadWyatt W Decker
Aug 2, 2003·Heart & Lung : the Journal of Critical Care·Nancy T ArtinianRanna I Bazzi
Mar 11, 2010·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Oscar MiróJuan Jorge González-Armengol
Mar 15, 2008·Critical Pathways in Cardiology·W Frank Peacock
Oct 30, 2012·Cardiology Clinics·Erik P Hess, David M Nestler
Mar 31, 2009·The American Journal of Emergency Medicine·Sean P CollinsMark H Eckman
Nov 26, 2008·Heart Failure Clinics·Sandra G Sieck, Mark G Moseley
Nov 26, 2008·Heart Failure Clinics·Jon W Schrock, Charles L Emerman
Jan 20, 2009·Heart & Lung : the Journal of Critical Care·Karen S YehleGail D Newton
Dec 17, 2008·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Franklin A Michota, Alpesh Amin
Dec 14, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jeffrey H BarsukWilliam Cotts
Jun 14, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Justin SchragerMichael Ross
Apr 26, 2006·The American Journal of Emergency Medicine·Deborah B DiercksJim E Weber
Sep 27, 2005·The Journal of Emergency Medicine·W F PeacockC L Emerman
Jan 3, 2006·Annals of Emergency Medicine·W Frank PeacockCharles Emerman
Apr 2, 2013·Journal of the American College of Cardiology·Sean P CollinsMihai Gheorghiade
Oct 4, 2016·Annales de cardiologie et d'angéiologie·S AndrieuM Pansieri
Apr 28, 2016·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Michael J ZdradzinskiSharon E Mace
Feb 24, 2016·European Heart Journal. Acute Cardiovascular Care·Òscar MiróUNKNOWN Acute Heart Failure Study Group of the ESC Acute Cardiovascular Care Association
Oct 13, 2010·Circulation·Neal L WeintraubUNKNOWN American Heart Association Council on Clinical Cardiology and Council on Cardiopulmonary, Critical Care, Perioperative and R
Oct 13, 2011·Critical Pathways in Cardiology·Abhinav ChandraAlexander Limkakeng
Jun 9, 2006·Congestive Heart Failure·Marc A SilverDeborah B Diercks
Oct 18, 2003·Congestive Heart Failure·W Frank PeacockRichard Summers
Mar 15, 2008·Critical Pathways in Cardiology·Nancy M Albert
Jun 3, 2016·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Òscar MiróSean P Collins
Apr 30, 2005·Congestive Heart Failure·Alan B StorrowChristopher J Lindsell
Jun 2, 2020·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Meghan J ElliottPaul E Ronksley

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
John BurkhardtCharles L Emerman
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Justin SchragerMichael A Ross
© 2022 Meta ULC. All rights reserved