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Most emergency department (ED) patients with heart failure (HF) are admitted to inpatient units, resulting in significant resource utilization. Many of these patients are discharged quickly, indicating the need for tools that can discriminate between ED patients who truly need admission and those who might safely be discharged to follow-up with their own physicians after treatment and stabilization in the ED. These researchers derived and validated a decision tool for exactly this purpose.
They evaluated 88 candidate variables to derive a score for predicting 30-day mortality in a prospective cohort of roughly 4900 patients with HF at 34 EDs in Spain from 2009 to 2011, and validated the score in a cohort of 3200 patients in 2014. The final t…