Discharge Planning in Emergency Department for Frail Older With AHF

Exclusion Criteria

• •De novo (new onset) acute heart failure (AHF).
• •Severe episode of acute heart failure (≥9th decile of MEESSI-AHF Score).
• •Uncorrected clinically significant primary valvular disease.
• •Acute coronary syndrome currently or within 30 days prior to enrolment.
• •Surgery or implanted device within 30 days prior to enrolment.
• •Significant arrhythmias.
• •Uncorrected systolic blood pressure \< 100 mmHg, O2 saturation baseline \< 92%, heart rate \< 60 or \>110 bpm, serum sodium \< 130 mmol/l, serum potassium \>5,5 mmol/l or hemoglobin \<9 g/dL prior to enrolment.
• •Planned treatment with vasoactive therapies, ventricular assist device, heart surgery or transplant within 6 months.
• •End stage renal disease.
• •Severe disability.
• •Difficulty intervention due to significant dementia, active delirium or psychiatric disorder.
• •Condition with a life expectancy \<1 year.
• •Length of stay in Emergency Department ≥96 hours.
• •Discharged to facility care.
• •Inability of outpatient follow-up.