Department of Emergency Medicine, Kaiser Permanente Northern California, Oakland and Richmond Medical Centers, Oakland, California; Division of Research, Kaiser Permanente Northern California, Oakland, California.
Department of Emergency Medicine, Kaiser Permanente Northern California, Oakland and Richmond Medical Centers, Oakland, California; Division of Research, Kaiser Permanente Northern California, Oakland, California.
J Card Fail. 2022 Oct;28(10):1545-1559. doi: 10.1016/j.cardfail.2022.05.006. Epub 2022 May 29.
Emergency department (ED) providers play a critical role in the stabilization and diagnostic evaluation of patients presenting with acute heart failure (AHF), and EDs are key areas for establishing current best practices and future considerations for the disposition of and decision making for patients with AHF. These elements include accurate risk assessment; response to initial treatment and shared decision making concerning optimal venue of care; reframing of physicians' risk perceptions for patients presenting with AHF; exploration of alternative venues of care beyond hospitalization; population-level changes in demographics, management and outcomes of HF patients; development and testing of data-driven pathways to assist with disposition decisions in the ED; and suggested outcomes for measuring success.
急诊科（ED）医生在急性心力衰竭（AHF）患者的稳定和诊断评估中发挥着关键作用，ED 也是确定当前最佳实践和未来 AHF 患者处置和决策的关键领域。这些要素包括准确的风险评估；对初始治疗的反应以及对最佳治疗场所的共同决策；重新构建医生对 AHF 患者的风险感知；探索除住院外的其他治疗场所；HF 患者的人口统计学、管理和结局的人群水平变化；开发和测试基于数据的途径，以协助在 ED 做出处置决策；以及用于衡量成功的建议结果。
