ArticleEuropean heart journal. Acute cardiovascular care2017
European Society of Cardiology - Acute Cardiovascular Care Association position paper on safe discharge of acute heart failure patients from the emergency department.
Article in European heart journal. Acute cardiovascular care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk stratification scores for patients with acute heart failure in the Emergency Department: A systematic review.European heart journal. Acute cardiovascular care · 2020Pooled it
- The Prognostic Accuracy of Get With The Guidelines-Heart Failure Score Alone and with Lactate Among Acute Symptomatic Heart Failure Patients: A Retrospective Cohort Study.Anatolian journal of cardiology · 2024Article
- Measurement of Cardiac-Specific Biomarkers in the Emergency Department: New Insight in Risk Evaluation.International journal of molecular sciences · 2023Review
- Emergency department risk assessment and disposition of acute heart failure patients: existing evidence and ongoing challenges.Heart failure reviews · 2023Review
- Acute heart failure in the emergency department: short stay needs rewiring.Internal and emergency medicine · 2023Article
- Evaluation of the HEFESTOS scale to predict outcomes in emergency department acute heart failure patients.Internal and emergency medicine · 2022Article
- Risk adjusted 30-day mortality and serious adverse event rates among a large, multi-center cohort of emergency department patients with acute heart failure.Journal of the American College of Emergency Physicians open · 2022Article
- Activity of the adrenomedullin system to personalise post-discharge diuretic treatment in acute heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2022Article
- Ten questions ICU specialists should address when managing cardiogenic acute pulmonary oedema.Intensive care medicine · 2022Article
- Impact of ED Organization with a Holding Area and a Dedicated Team on the Adherence to International Guidelines for Patients with Acute Pulmonary Embolism: Experience of an Emergency Department Organized in Areas of Intensity of Care.Medicines (Basel, Switzerland) · 2020Article
- Coronary artery calcium scoring in individuals at risk for coronary artery disease: current status and future perspectives.The British journal of radiology · 2020Review
- APLP2 gene polymorphisms are associated with high TC and LDL-C levels in Chinese population in Xinjiang, China.Bioscience reports · 2020Observational
- Acute decompensated heart failure in the emergency department: Identification of early predictors of outcome.Medicine · 2017Observational
- Expert consensus document: Echocardiography and lung ultrasonography for the assessment and management of acute heart failure.Nature reviews. Cardiology · 2017Review
- Outcomes after observation stays among older adult Medicare beneficiaries in the USA: retrospective cohort study.BMJ (Clinical research ed.) · 2017Article
- IMPROV-ED study: outcomes after discharge for an episode of acute-decompensated heart failure and comparison between patients discharged from the emergency department and hospital wards.Clinical research in cardiology : official journal of the German Cardiac Society · 2017Article
- Practical approach on frail older patients attended for acute heart failure.International journal of cardiology · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors.
Funding
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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.