Assessing Risk and Preventing 30-Day Readmissions in Decompensated Heart Failure: Opportunity to Intervene?

作者: Richard Dunbar-Yaffe , Audra Stitt , Joseph J. Lee , Shanas Mohamed , Douglas S. Lee

DOI: 10.1007/S11897-015-0266-4

关键词: Cardiac surgeryMedicineEmergency departmentHealth careDecompensationPsychological interventionAmbulatory careEmergency medicineAmbulatoryRisk assessmentIntensive care medicine

摘要: Heart failure (HF) patients are at high risk of hospital readmission, which contributes to substantial health care costs. There is great interest in strategies reduce rehospitalization for HF. However, many readmissions occur within 30 days initial discharge, presenting a challenge interventions be instituted short time frame. Potential HF can classified into three different forms. First, who readmission identified even before their index discharge. Second, ambulatory remote monitoring may identify early warning signs acute decompensation occurs. Finally, employed the emergency department low-risk not need readmission. If symptoms improve with therapy, could referred specialized, rapid outpatient follow-up where investigations and therapy an setting.

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