Do Rockwood frailty score and Charlson comorbidity index help to risk stratify outpatient versus inpatient management of acute decompensated heart failure?

Inpatient Evaluation and Management of Acute Decompensated Heart Failure

Heart failure has become a major medical problem in the United States over the past 10 years. It is estimated that 5 million people in the United States have heart failure, and admissions for decompensated heart failure account for 6.5 million hospital days each year [1]. The greatest expense attributable to heart failure is inpatient hospitalization, which accounts for an estimated $23 billion...

Management of acute decompensated heart failure.

Acute decompensated heart failure represents a heterogeneous group of disorders that typically present as dyspnea, edema and fatigue. Despite the high prevalence of this condition and its associated major morbidity and mortality, diagnosis can be difficult, and optimal treatment remains poorly defined. Identification of the acute triggers for the decompensation as well as noninvasive characteri...

Management of Acute Decompensated Heart Failure

Hospital Physician July 2006 47 H eart failure (HF) affects 4 to 5 million people in the United States, and more than 500,000 new cases are diagnosed annually.1,2 The prev­ alence of HF increases with age, occurring in up to 10% of patients over age 75 years. HF is the leading cause for hospitalizations in the United States, with over 1 million hospitalizations each year.3 In fact, HF hospital­...

Charlson Comorbidity Index

Acute Decompensated Heart Failure : Medical Management

While pharmaceutical innovation has been highly successful in reducing mortality in chronic heart failure, this has not been matched by similar success in acute decompensated heart failure ( ADHF ). ADHF is the most common reason for hospital admission in patients over the age of 65, and is associated with staggering costs. Furthermore, the prognosis of patients admitted with ADHF remains disma...