The effect of early diuretic therapy in the emergency department on clinical outcomes in patients hospitalized with acute heart failure
Recruiting
- Conditions
- Mortality rate in patients hospitalized with acute heart failure and treated with IV diuretics.Heart failure, mortality, diuretics
- Registration Number
- TCTR20221122001
- Lead Sponsor
- Emergency Medicine Department, Nakornping Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 1077
Inclusion Criteria
Patients hospitalized with acute heart failure who were treated with IV furosemide within 24 hours after ED arrival.
1. Age >= 20 years old
2. Treated and hospitalized through emergency department
3. Acute heart failure diagnosed on basis of Framingham criteria
Exclusion Criteria
1. Final diagnosis is not acute heart failure
2. Only OPD treatment / No hospitalization
3. Patients received the first dose of diuretics >24 h after ED arrival (D2D time > 24 hours)
4. No definite D2D time
5. ESRD patient who on regular dialysis (both hemodialysis and peritoneal dialysis)
6. Acute STEMI patients who require immediate revascularization
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method In-hospital mortality rate Throughout admission Dead in admission
- Secondary Outcome Measures
Name Time Method Hospital length of stay Throughout admission Days of hospitalization (from admission to discharge),Ventilator days Throughout admission Duration (days) of mechanical ventilation,Need for endotracheal intubation at ward Within 24 hours after ED arrival Number of patient who admit without ETT but progression and need ETT at ward,30-day readmission rate due to AHF 30 days from first ED arrival Readmission within 30 days