Care Setting Intensity and Outcomes After Emergency Department Presentation Among Patients With Acute Heart Failure.

ABSTRACT: Patients with heart failure (HF) presenting to the emergency department (ED) can be admitted to care settings of different intensity, where the intensive care unit (ICU) is the highest intensity, ward admission is intermediate intensity, and those discharged home are of lowest intensity. Despite the costs associated with higher-intensity care, little is known about disposition decisions and outcomes of HF patients treated in different care settings. We identified predictors of ICU or ward admission and determined whether survival differs in patients admitted to higher-intensity versus lower-intensity care settings (ie, ICU vs ward, or ward vs ED-discharged). Among 9054 patients (median, 78 years; 51% men) presenting to an ED in Ontario, Canada, 1163 were ICU-admitted, 5240 ward-admitted, a

SUBMITTER: Goldraich L 

PROVIDER: S-EPMC5015368 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature