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Acute heart failure in the emergency department: short and long-term outcomes of elderly patients with heart failure.

Publication ,  Journal Article
Ezekowitz, JA; Bakal, JA; Kaul, P; Westerhout, CM; Armstrong, PW
Published in: Eur J Heart Fail
March 2008

AIMS: Previous epidemiologic studies of acute heart failure (AHF) have involved patients admitted to hospital and fail to account for that unknown proportion discharged directly from the emergency department (ED). We examined discharge rates, and whether outcomes, including mortality, differed based on admission status in AHF. METHODS AND RESULTS: This population-based cohort included all patients > or =65 years presenting to an Alberta ED with HF (ICD9-CM 428.x; 1998 to 2001). Patients were either not admitted (Not-ADM) or directly admitted to hospital (ADM) and followed for one-year. Of 10,415 AHF patients evaluated in the ED, 35% were Not-ADM whereas 65% were ADM. Thirty days after ED presentation the rates of death, re-ED or initial/re-hospitalisation were 3.3%, 44% and 19% for Not-ADM, and 10.9%, 33% and 21% for the ADM patients, respectively (all p<0.0001). At one-year, the rates of death, re-ED or initial/re-hospitalisation were 20%, 82% and 58% for Not-ADM, and 34%, 72% and 60% for ADM, respectively (all p<0.0001). CONCLUSIONS: One third of AHF patients were not immediately admitted after an ED visit but most present again to the ED, two-thirds were hospitalised and 20% died within the first year. Our findings provide new impetus to undertake risk assessment and treatment strategies in the ED for AHF.

Duke Scholars

Published In

Eur J Heart Fail

DOI

ISSN

1388-9842

Publication Date

March 2008

Volume

10

Issue

3

Start / End Page

308 / 314

Location

England

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Risk Assessment
  • Patient Discharge
  • Male
  • Humans
  • Hospital Mortality
  • Heart Failure
  • Female
  • Emergency Service, Hospital
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ezekowitz, J. A., Bakal, J. A., Kaul, P., Westerhout, C. M., & Armstrong, P. W. (2008). Acute heart failure in the emergency department: short and long-term outcomes of elderly patients with heart failure. Eur J Heart Fail, 10(3), 308–314. https://doi.org/10.1016/j.ejheart.2008.01.014
Ezekowitz, Justin A., Jeffery A. Bakal, Padma Kaul, Cynthia M. Westerhout, and Paul W. Armstrong. “Acute heart failure in the emergency department: short and long-term outcomes of elderly patients with heart failure.Eur J Heart Fail 10, no. 3 (March 2008): 308–14. https://doi.org/10.1016/j.ejheart.2008.01.014.
Ezekowitz JA, Bakal JA, Kaul P, Westerhout CM, Armstrong PW. Acute heart failure in the emergency department: short and long-term outcomes of elderly patients with heart failure. Eur J Heart Fail. 2008 Mar;10(3):308–14.
Ezekowitz, Justin A., et al. “Acute heart failure in the emergency department: short and long-term outcomes of elderly patients with heart failure.Eur J Heart Fail, vol. 10, no. 3, Mar. 2008, pp. 308–14. Pubmed, doi:10.1016/j.ejheart.2008.01.014.
Ezekowitz JA, Bakal JA, Kaul P, Westerhout CM, Armstrong PW. Acute heart failure in the emergency department: short and long-term outcomes of elderly patients with heart failure. Eur J Heart Fail. 2008 Mar;10(3):308–314.
Journal cover image

Published In

Eur J Heart Fail

DOI

ISSN

1388-9842

Publication Date

March 2008

Volume

10

Issue

3

Start / End Page

308 / 314

Location

England

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Risk Assessment
  • Patient Discharge
  • Male
  • Humans
  • Hospital Mortality
  • Heart Failure
  • Female
  • Emergency Service, Hospital