Emergency short-stay unit as an effective alternative to in-hospital admission for acute exacerbation of chronic heart failure
Autor/a
Salazar Soler, Albert
Garcia-Eroles, Luis
Craywinckel, Gemma
Corbella Virós, Xavier
Data de publicació
2014-10ISSN
2158-284X
Resum
Study Objective: To determine whether a new emergency department short-stay unit (EDSSU) was an effective alternative to conventional hospital units (HU) for acute exacerbation of chronic heart failure patients. Methods: Design: A comparative analysis was used to identify differences among patients admitted to EDSSU (n = 1546) and those admitted to the internal medicine (n = 552) or cardiology wards (n = 336) during the period of the study (January 1, 2008 to December 31, 2012). Setting: The study was performed at Sant Pau Hospital, a 500-bed teaching tertiary care referral center in Barcelona, Spain. The ED attends about 144,000 emergency visits per year. Participants: We studied retrospectively the characteristics of patients hospitalized with an acute exacerbation of chronic heart failure between January 1, 2008 and December 31, 2012 (n = 2434). We chose charts of patients from the hospital discharge database and selected according to the 9th revision of the International Classification of Diseases Codes. We used the computerized database to obtain outcome data on all patients. Results: Statistically significant differences were found in terms of mean age (HU: 77.38 (14.44) years versus EDSSU: 82.43 (8.72) years; p < 0.001), mean length of stay (HU: 11.57 (10.42) days versus EDSSU: 4.75 (3.18) days; p < 0.001), mortality (HU: 14.0% versus EDSSU: 4.0%; p < 0.001), but not for urgent readmission rate of 30 days or less (HU: 18.30% versus EDSSU: 18.30%; p = 0.998). There were statistically significant differences regarding sex (HU women = 60.6%; EDDSU women = 67.7%; p < 0.001) and number of associated conditions (Charlson index HU = 1.25, EDDSU = 0.90; p < 0.001). Conclusion: The EDSSU proved to be an effective and safe measure in emergency care of patients with acute heart failure (AHF).
Tipus de document
Article
Versió del document
Versió acceptada
Llengua
Anglès
Matèries (CDU)
61 - Medicina
Paraules clau
Insuficiència cardíaca
Hospitals -- Pacients
Urgències mèdiques
Insuficiencia cardíaca
Hospitalizados
Medicina de urgencia
Heart failure
Hospitals -- Patients
Medical emergencies
Pàgines
8
Publicat per
Scientific Research Publishing
Col·lecció
5;
Publicat a
International Journal of Clinical Medicine
Citació
Salazar, Albert; Garcia-Eroles, Luis; Craywinckel, Gemma [et al.]. Emergency short-stay unit as an effective alternative to in-hospital admission for acute exacerbation of chronic heart failure. International Journal of Clinical Medicine, 2014, 5, p. 1200-1206. Disponible en: <https://www.scirp.org/journal/paperinformation.aspx?paperid=50636>. Fecha de acceso: 22 jun. 2020. DOI: 10.4236/ijcm.2014.519153
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Drets
© 2014 by authors and Scientific Research Publishing Inc.This work is licensed under the Creative Commons Attribution International License (CC BY).http://creativecommons.org/licenses/by/4.0/
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