European Society of Cardiology - acute cardiovascular care association position paper on safe discharge of acute heart failure patients from the emergency department

Miro, Oscar, Peacock, Frank W., McMurray, John J., Bueno, Hector, Christ, Michael, Maisel, Alan S., Cullen, Louise, Cowie, Martin R., Di Somma, Salvatore, Martin Sanchez, Francisco J., Platz, Elke, Masip, Josep, Zeymer, Uwe, Vrints, Christiaan, Price, Susanna, Mebazaa, Alexander and Mueller, Christian (2017) European Society of Cardiology - acute cardiovascular care association position paper on safe discharge of acute heart failure patients from the emergency department. European Heart Journal-Acute Cardiovascular Care, 6 4: 311-320. doi:10.1177/2048872616633853


Author Miro, Oscar
Peacock, Frank W.
McMurray, John J.
Bueno, Hector
Christ, Michael
Maisel, Alan S.
Cullen, Louise
Cowie, Martin R.
Di Somma, Salvatore
Martin Sanchez, Francisco J.
Platz, Elke
Masip, Josep
Zeymer, Uwe
Vrints, Christiaan
Price, Susanna
Mebazaa, Alexander
Mueller, Christian
Title European Society of Cardiology - acute cardiovascular care association position paper on safe discharge of acute heart failure patients from the emergency department
Journal name European Heart Journal-Acute Cardiovascular Care   Check publisher's open access policy
ISSN 2048-8726
2048-8734
Publication date 2017-06-01
Year available 2016
Sub-type Article (original research)
DOI 10.1177/2048872616633853
Open Access Status Not yet assessed
Volume 6
Issue 4
Start page 311
End page 320
Total pages 10
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Abstract Heart failure is a global public health challenge frequently presenting to the emergency department. After initial stabilization and management, one of the most important decisions is to determine which patients can be safely discharged and which require hospitalization. This is a complex decision that depends on numerous subjective factors, including both the severity of the patient’s underlying condition and an estimate of the acuity of the presentation. An emergency department observation period may help select the correct option. Ideally, during an observation period, risk stratification should be carried out using parameters specifically designed for use in the emergency department. Unfortunately, there is little objective literature to guide this disposition decision. An objective and reliable definition of low-risk characteristics to identify early discharge candidates is needed. Benchmarking outcomes in patients discharged from the emergency department without hospitalization could aid this process. Biomarker determinations, although undoubtedly useful in establishing diagnosis and predicting longer-term prognosis, require prospective validation for emergency department disposition guidance. The challenge of identifying emergency department acute heart failure discharge candidates will only be overcome by future multidisciplinary research defining the current knowledge gaps and identifying potential solutions.
Keyword Acute heart failure
Emergency department
Discharge
Risk stratification
Prognosis
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID K23 HL123533
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Public Health Publications
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