• Am J Emerg Med · Oct 2024

    Understanding social risk factors in patients presenting to the emergency Department for Acute Heart Failure: A pilot study.

    • Nidhi Garg, Jennifer Johnson, Vidhi Patel, Renee Pekmezaris, Harrindra Seepersaud, Pridha Kumar, Richard Thomesen, Harshani Luknauth, Maire Amlicke, Marianne Ruelle, and Lance Becker.
    • South Shore University Hospital, Bayshore, New York, USA, Northwell Health, Department of Emergency Medicine. Electronic address: ngarg1@northwell.edu.
    • Am J Emerg Med. 2024 Oct 1; 84: 7147-14.

    BackgroundThe standard of care for congestive heart failure (CHF) aims to slow disease progression and maximize patient function, however there is an increase in emergency department (ED) revisits and readmissions. Social risk factors play a role in the disease management and prognosis of CHF. There is a gap in the identification of low-risk CHF patient who would be safely discharged using an initial social risk factor stratification.ObjectivesTo generate a social risk profile for patients presenting to the ED with acute CHF exacerbation and identify variables that may increase the risk of 7-day and overall mortality, 30-day ED revisit, and readmission.MethodsWe conducted a pilot prospective survey-based study among adult patients presenting to the ED with acute CHF exacerbation. The combination of a self-report questionnaire and retrospective chart review was used to generate a CHF risk profile.ResultsA total of 62 patients were recruited in the pilot study with a mean age of 69.5 years. The preliminary data indicated that prior to this ED visit, 21% of patients were not aware of a previous CHF diagnosis; 64.5% of patients rated their sleep quality as poor or very poor; 72.6% reported orthopnea; and 43.5% reported recent weight gain. 37.1% of patients did not adhere to dietary recommendations and some patients did not adhere to their medication regime 100%.ConclusionThis study suggests establishing a social risk profile for patients presenting to the ED with CHF can help formulate a CHF-specific care plan and optimize multidisciplinary management to reduce ED revisits and readmissions.Copyright © 2024 Elsevier Inc. All rights reserved.

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