Comparison of management and outcomes of ED patients with acute decompensated heart failure between the Canadian and United States’ settings

Anita Lai, Elliott Tenpenny, David Nestler, Erik Hess, Ian G. Stiell

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: The objective of this study was to compare the emergency department (ED) management and rate of admission of acute decompensated heart failure (ADHF) between two hospitals in Canada and the United States and to compare the outcomes of these patients. Methods: This was a health records review of adults presenting with ADHF to two EDs in Canada and the United States between January 1 and April 30, 2010. Outcome measures were admission to the hospital, myocardial infarction (MI), and death or relapse rates to the ED. Data were analysed using descriptive, univariate and multivariate analyses. Results: In total, 394 cases were reviewed and 73 were excluded. Comparing 156 Canadian to 165 U.S. patients, respectively, mean age was 76.0 and 75.8 years; male sex was 54.5% and 52.1%. Canadian and U.S. ED treatments were noninvasive ventilation 7.7% v. 12.8% (p = 0.13); IV diuretics 77.6% v. 36.0% (p

Original languageEnglish (US)
Pages (from-to)81-89
Number of pages9
JournalCanadian Journal of Emergency Medicine
Volume18
Issue number2
DOIs
StatePublished - Mar 1 2016

Fingerprint

Hospital Emergency Service
Heart Failure
Canada
Noninvasive Ventilation
Emergency Treatment
Diuretics
Multivariate Analysis
Myocardial Infarction
Outcome Assessment (Health Care)
Recurrence
Health

Keywords

  • Emergency department
  • Health records review
  • Heart failure

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Comparison of management and outcomes of ED patients with acute decompensated heart failure between the Canadian and United States’ settings. / Lai, Anita; Tenpenny, Elliott; Nestler, David; Hess, Erik; Stiell, Ian G.

In: Canadian Journal of Emergency Medicine, Vol. 18, No. 2, 01.03.2016, p. 81-89.

Research output: Contribution to journalArticle

Lai, Anita ; Tenpenny, Elliott ; Nestler, David ; Hess, Erik ; Stiell, Ian G. / Comparison of management and outcomes of ED patients with acute decompensated heart failure between the Canadian and United States’ settings. In: Canadian Journal of Emergency Medicine. 2016 ; Vol. 18, No. 2. pp. 81-89.
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