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The effect of early diuretic therapy in the emergency department on clinical outcomes in patients hospitalized with acute heart failure

The effect of early diuretic therapy in the emergency department on clinical outcomes in patients hospitalized with acute heart failure

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
TCTR
Registry ID
TCTR20221122001
Enrollment
1077
Registered
2022-11-22
Start date
2022-10-15
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mortality rate in patients hospitalized with acute heart failure and treated with IV diuretics. Heart failure, mortality, diuretics

Interventions

D2D time is less than 60 minutes from ED arrival,D2D time is 60 minutes or more from ED arrival
Treatment,Treatment
Early diuretics,Non-early diuretics

Sponsors

Emergency Medicine Department, Nakornping Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
20 Years to 100 Years

Inclusion criteria

Inclusion criteria: Patients hospitalized with acute heart failure who were treated with IV furosemide within 24 hours after ED arrival. 1. Age >= 20 years old 2. Treated and hospitalized through emergency department 3. Acute heart failure diagnosed on basis of Framingham criteria

Exclusion criteria

Exclusion criteria: 1. Final diagnosis is not acute heart failure 2. Only OPD treatment / No hospitalization 3. Patients received the first dose of diuretics >24 h after ED arrival (D2D time > 24 hours) 4. No definite D2D time 5. ESRD patient who on regular dialysis (both hemodialysis and peritoneal dialysis) 6. Acute STEMI patients who require immediate revascularization

Design outcomes

Primary

MeasureTime frame
In-hospital mortality rate Throughout admission Dead in admission

Secondary

MeasureTime frame
Hospital length of stay Throughout admission Days of hospitalization (from admission to discharge),Ventilator days Throughout admission Duration (days) of mechanical ventilation,Need for endotracheal intubation at ward Within 24 hours after ED arrival Number of patient who admit without ETT but progression and need ETT at ward,30-day readmission rate due to AHF 30 days from first ED arrival Readmission within 30 days

Countries

Thailand

Contacts

Public ContactHaruetai Wongnang

Nakornping Hospital

haruetai.wo@gmail.com0842421956

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 9, 2026