계명대학교 의학도서관 Repository

Association between focused cardiac ultrasound and time to furosemide administration in acute heart failure

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Author(s)
Yun Ang ChoiJae Yun JungJoong Wan ParkMin Sung LeeTae Kwon KimStephen Gyung Won LeeYong Hee LeeKi Hong Kim
Keimyung Author(s)
Kim, Tae Kwon
Department
Dept. of Emergency Medicine (응급의학)
Journal Title
Am J Emerg Med
Issued Date
2022
Volume
59
Keyword
Heart failureEmergency departmentFocused ultrasoundTime-to-treatment
Abstract
Background:
Heart failure (HF) is a global health burden, and its management in the emergency department (ED) is important. This study aimed to evaluate the association between focused cardiac ultrasound (FoCUS) and early administration of diuretics in patients with acute HF admitted to the ED.

Methods:
This retrospective observational study was conducted at a tertiary academic hospital. Patients with acute HF patients who were admitted to the ED and receiving intravenous medication between January 2018 and December 2019 were enrolled. The main exposure was a FoCUS examination performed within 2 h of ED triage. The primary outcome was the time to furosemide administration.

Results:
Of 1154 patients with acute HF, 787 were included in the study, with 116 of them having undergone FoCUS. The time to furosemide was significantly shorter in the FoCUS group (median time (q1–q3), 112 min; range, 65–163 min) compared to the non-FoCUS group (median time, 131 min; range, 71–229 min). In the multivariable logistic regression analysis adjusting for age, sex, chief complaint, mode of arrival, triage level, shock status, and desaturation at triage, early administration of furosemide within 2 h from triage was significantly higher in the FoCUS group (adjusted odds ratio, 1.63; 95% confidence intervals, 1.04–2.55) than in the non-FoCUS group.

Conclusions:
Early administration of intravenous furosemide was associated with FoCUS examination in patients with acute HF admitted to the ED. An early screening protocol could be useful for improving levels in clinical practice at EDs.
Keimyung Author(s)(Kor)
김태권
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
0735-6757
Source
https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0735675722004594
DOI
10.1016/j.ajem.2022.07.020
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44355
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
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