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Optimal Initial Intravenous Loop Diuretic Dosing in Acute Decompensated Heart Failure.


ABSTRACT:

Background

Nearly one-half of patients admitted with acute decompensated heart failure (ADHF) are discharged with unresolved congestion, elevating rehospitalization risk. This may be due to suboptimal intravenous (IV) loop diuretic dosing, which may be influenced by home oral diuretic dose.

Objectives

The objective of this study was to determine the association between: 1) home oral loop diuretic dose and optimal initial IV loop diuretic dosing in ADHF; and 2)receiving optimal initial IV loop diuretic dosing and length of stay and 30-day readmission.

Methods

Retrospective analysis of adults admitted to a large U.S. hospital for ADHF on home oral loop diuretics from 1 January 2014 to 21 December 2021. Patients were categorized by home dose: low (≤40 mg furosemide equiv

SUBMITTER: Jacobs JA 

PROVIDER: S-EPMC11406012 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature