Diuretic lounge and the impact on hospital admissions for treatment of decompensated heart failure

Abstract Background Heart failure is a prevalent condition associated with frequent and costly hospital admissions. Hospitalizations are primarily related to worsening fluid retention and often require admission for decongestion with intravenous diuretics. Objective To assess the safety of an outpat...

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Bibliographic Details
Published in:QJM : An International Journal of Medicine 2020-09, Vol.113 (9), p.651-656
Main Authors: Ioannou, A, Browne, T, Jordan, S, Metaxa, S, Mandal, A K J, Missouris, C G
Format: Article
Language:English
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Summary:Abstract Background Heart failure is a prevalent condition associated with frequent and costly hospital admissions. Hospitalizations are primarily related to worsening fluid retention and often require admission for decongestion with intravenous diuretics. Objective To assess the safety of an outpatient intravenous diuresis service for heart failure patients, and its impact on emergency admissions and the cost of treatment. Methods We conducted a prospective observational cohort registry study on patients referred to the diuretic lounge at our acute hospital between May 2017 and April 2018. Results We analysed 245 patients treated in the diuretic lounge, of which 190 (77.6%) avoided hospitalization or any adverse events during the 60 days of follow up (77.6% vs. 22.4%; P 
ISSN:1460-2725
1460-2393
DOI:10.1093/qjmed/hcaa114