Prognosis of emergency room stabilization of decompensated congestive heart failure with high dose lasix

Objective: Congestive heart failure (CHF) has become one of the most important health care problems in western countries. This article focuses on the outpatient diagnosis and management of heart failure. We want to compare the outcome of patients who were treated with high dose diuretics in the emergency department (ED) without admission with patients who were admitted to hospital for standard treatment. Methods: This was a randomized prospective clinical trial study. The patients who came to the ED from March ۲۰, ۲۰۰۸ up to August ۲۰, ۲۰۰۸ were divided into two groups randomly. The length of ED stay in the experimental group was documented. Also, readmission and mortality in ۶ months and satisfaction in both groups were taken into consideration. All data were analyzed using SPSS ۱۵.۰. Results: In experimental group, the rate of recurrent admission, expiration, discharge, clinic visit, and clinic admission was ۸%, ۴%, ۲۹%, ۱۸%, and ۰% respectively. On the other hand, in control group it was ۱۶%, ۴۰%, ۱۸%, ۲۲%, and ۲% respectively. Additionally, there was a significant difference between these groups (P = ۰.۰۰). Conclusion: This study is the first regional prospective trial to comprehensively examine the therapeutic management in patients with CHF. This study, comparing the high dose diuretic efficacy in the decreasing of hospital stay and readmission; and decreasing mortality rate with routine therapy, showed that there was a significant difference between these two strategies in the mortality rate, readmission, and length of hospital stay (P = ۰.۰۰).

کلیدواژه ها:

Aggressive therapy ، Congestive heart failure ، Diuretics