Skip to main content
Article
Heart failure in patients presenting with dyspnoea to the emergency department in the Asia Pacific region: An observational study
BMJ Open
  • Gerben Keijzers, Bond University
  • Anne-Maree Kelly, University of Melbourne
  • Louise Cullen, University of Queensland
  • Sharon Klim, Joseph Epstein Centre for Emergency Medicine Research Western Health
  • Colin A Graham, The Chinese University of Hong Kong
  • Simon Craig, Monash University
  • Win Sen Kuan, National University of Singapore
  • Peter Jones, Auckland City Hospital
  • Anna Holdgate, University of New South Wales
  • Charles Lawoko, ATN Universities
  • Said Laribi, Tours University Hospitals
Date of this Version
2-28-2017
Document Type
Journal Article
Grant Number
EMPJ-108R21-2014
Publication Details

Published version

Keijzers, G., Kelly, A. -M., Cullen, L., Klim, S., Graham, C. A., Craig, S., Kuan, W. S., Jones, P., Holdgate, A., Lawoko, C., & Laribi, S. (2017). Heart failure in patients presenting with dyspnoea to the emergency department in the asia pacific region: An observational study. BMJ Open, 7(2) doi:10.1136/bmjopen-2016-013812

Access the journal

Copyright © The Authors, 2017

Distribution License
Creative Commons Attribution-Noncommercial 4.0
Disciplines
Abstract
OBJECTIVES: To describe demographic features, assessment, management and outcomes of patients who were diagnosed with heart failure after presenting to an emergency department (ED) with a principal symptom of dyspnoea. DESIGN: Planned substudy of the prospective, descriptive cohort study: Asia, Australia and New Zealand Dyspnoea in Emergency Departments (AANZDEM). SETTING: 46 EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia collected data over 3 72-hour periods in May, August and October 2014. PARTICIPANTS: Patients with an ED diagnosis of heart failure. OUTCOME MEASURES: Outcomes included patient epidemiology, investigations ordered, treatment modalities used and patient outcomes (hospital length of stay (LOS) and mortality). RESULTS: 455 (14.9%) of the 3044 patients had an ED diagnosis of heart failure. Median age was 79 years, half were male and 62% arrived via ambulance. 392 (86%) patients were admitted to hospital. ED diagnosis was concordant with hospital discharge diagnosis in 81% of cases. Median hospital LOS was 6 days (IQR 4-9) and in-hospital mortality was 5.1%. Natriuretic peptide levels were ordered in 19%, with lung ultrasound ( CONCLUSIONS: In the Asia Pacific region, heart failure is a common diagnosis among patients presenting to the ED with a principal symptom of dyspnoea. Admission rates were high and ED diagnostic accuracy was good. Despite the seemingly suboptimal adherence to investigation and treatment guidelines, patient outcomes were favourable compared with other registries.
Citation Information
Gerben Keijzers, Anne-Maree Kelly, Louise Cullen, Sharon Klim, et al.. "Heart failure in patients presenting with dyspnoea to the emergency department in the Asia Pacific region: An observational study" BMJ Open Vol. 7 Iss. 2 (2017) p. 013812 - 013812 ISSN: 2044-6055
Available at: http://works.bepress.com/gerben_keijzers/35/