ArticleJACC. Heart failure2013
Moving toward comprehensive acute heart failure risk assessment in the emergency department: the importance of self-care and shared decision making.
Article in JACC. Heart failure, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 41 citations in OpenAlex.
- Emergency department risk assessment and disposition of acute heart failure patients: existing evidence and ongoing challenges.Heart failure reviews · 2023Review
- Incidence of Timely Outpatient Follow-Up Care After Emergency Department Encounters for Acute Heart Failure.Circulation. Cardiovascular quality and outcomes · 2022Article
- Improvement in Kansas City Cardiomyopathy Questionnaire Scores After a Self-Care Intervention in Patients With Acute Heart Failure Discharged From the Emergency Department.Circulation. Cardiovascular quality and outcomes · 2021 · on this mapArticle
- First symptoms and health care pathways in hospitalized patients with acute heart failure: ICPS2 survey. A report from the Heart Failure Working Group (GICC) of the French Society of Cardiology.Clinical cardiology · 2021Observational
- TACIT (High Sensitivity Troponin T Rules Out Acute Cardiac Insufficiency Trial).Circulation. Heart failure · 2019Observational
- ACUTE Heart Failure Risk Stratification.Circulation · 2019Article
- Lay Consultations in Heart Failure Symptom Evaluation.SOJ nursing & health care · 2017Article
- Dissemination and Implementation of Shared Decision Making Into Clinical Practice: A Research Agenda.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2016Article
- Plasma bioactive adrenomedullin as a prognostic biomarker in acute heart failure.The American journal of emergency medicine · 2016Article
- Identification of Emergency Department Patients With Acute Heart Failure at Low Risk for 30-Day Adverse Events: The STRATIFY Decision Tool.JACC. Heart failure · 2015Observational
- Self-care Barriers Reported by Emergency Department Patients With Acute Heart Failure: A Sociotechnical Systems-Based Approach.Annals of emergency medicine · 2015Article
- Challenges in acute heart failure clinical management: optimizing care despite incomplete evidence and imperfect drugs.Critical pathways in cardiology · 2015Review
- Early management of patients with acute heart failure: state of the art and future directions--a consensus document from the SAEM/HFSA acute heart failure working group.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2015Review
- Early management of patients with acute heart failure: state of the art and future directions. A consensus document from the society for academic emergency medicine/heart failure society of America acute heart failure working group.Journal of cardiac failure · 2015Review
- Educational challenges to the health care professional in heart failure care.Current heart failure reports · 2014Review
- The burden of acute heart failure on U.S. emergency departments.JACC. Heart failure · 2014Article
- A heart failure program in low-income patients in Argentina (COMM-HF).Archivos peruanos de cardiologia y cirugia cardiovascularArticle
- Acute Heart Failure in the Emergency Department: Respiratory Rate as a Risk Predictor.In vivo (Athens, Greece)Article
- Self Managing Heart Failure in Remote Australia - Translating Concepts into Clinical Practice.Current cardiology reviewsReview
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
Nearly 700,000 emergency department (ED) visits were due to acute heart failure (AHF) in 2009. Most visits result in a hospital admission and account for the largest proportion of a projected $70 billion to be spent on heart failure care by 2030. ED-based risk prediction tools in AHF rarely impact disposition decision making. This is a major factor contributing to the 80% admission rate for ED patients with AHF, which has remained unchanged over the last several years. Self-care behaviors such as symptom monitoring, medication taking, dietary adherence, and exercise have been associated with decreased hospital readmissions, yet self-care remains largely unaddressed in ED patients with AHF and thus represents a significant lost opportunity to improve patient care and decrease ED visits and hospitalizations. Furthermore, shared decision making encourages collaborative interaction between patients, caregivers, and providers to drive a care path based on mutual agreement. The observation that “difficult decisions now will simplify difficult decisions later” has particular relevance to the ED, given this is the venue for many such issues. We hypothesize patients as complex and heterogeneous as ED patients with AHF may need both an objective evaluation of physiologic risk as well as an evaluation of barriers to ideal self-care, along with strategies to overcome these barriers. Combining physician gestalt, physiologic risk prediction instruments, an evaluation of self-care, and an information exchange between patient and provider using shared decision making may provide the critical inertia necessary to discharge patients home after a brief ED evaluation.
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Registered trials
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