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首页> 外文期刊>Journal of cardiac failure >Patients with acute heart failure in the emergency department: Do they all need to be admitted?
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Patients with acute heart failure in the emergency department: Do they all need to be admitted?

机译：急诊科的急性心力衰竭患者：是否都需要入院？

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摘要

Hospitalization for acute heart failure (AHF) is associated with a high rate of postdischarge mortality and readmissions, as well as high financial costs. Reducing 30-day readmissions after AHF hospitalization is a major national quality goal intended to both improve patient outcomes and reduce costs. Although the decision threshold for the vast majority of hospitalized AHF patients lies in the emergency department (ED), the role of the ED in reducing preventable admissions has largely been ignored. While admissions for AHF also originate from outpatient clinics, the greatest opportunity to reduce inpatient admissions lies with the cohort of patients who present to the ED with AHF. Safe discharge mandates interdisciplinary collaboration, close follow-up, careful scrutiny of psychosocial and socioeconomic factors, and a shared definition of risk stratification. Although additional research is needed, strategies for lower risk patients can and should be initiated to safely discharge AHF patients from the ED.
机译：急性心力衰竭（AHF）的住院治疗与出院后死亡率和再入院率高以及财务费用高有关。减少AHF住院后30天的再入院率是一项主要的国家质量目标，旨在既提高患者疗效又降低成本。尽管绝大多数住院的AHF患者的决策门槛是急诊科（ED），但ED在减少可预防的入院人数中的作用已被大大忽略。虽然AHF的入院也来自门诊，但减少住院人数的最大机会在于向AED急诊就诊的患者。安全解除要求跨学科合作，密切跟进，对社会心理和社会经济因素的仔细审查以及对风险分层的共同定义。尽管还需要进一步的研究，但可以并且应该针对低风险患者采取策略，以安全地从急诊科救治AHF患者。

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