BACKGROUND: @entity1 with decompensated @entity712 ( @entity712 ) are frequently evaluated in @entity341 ( @entity341 ). The outcomes of such @entity1 after discharge to the outpatient setting from the @entity341 are not well known. Risk factors for @entity341 or subsequent hospital admission after @entity341 discharge for @entity712 also are not known. METHODS: Charts were reviewed from all 112 @entity1 discharged from the Parkland Memorial Hospital @entity341 with a primary diagnosis of @entity712 from October to December 1998. A composite end point ("failure of outpatient therapy") was prespecified to be a recurrent @entity341 visit for @entity712 , hospitalization for @entity712 , or @entity204 at 3 months after the index @entity341 discharge. RESULTS: Within 3 months of the index @entity341 visit, 61% of the study population met the composite end point. The median time to failure of outpatient therapy was 30 days. Univariate analysis of 27 clinical and demographic variables demonstrated the respiratory rate at presentation as the only predictor of failure of outpatient therapy (P =.02). Multivariate analysis of a model with 8 prespecified variables also demonstrated respiratory rate to be the only variable independently associated with an increased risk for the composite end point (odds ratio 1.6, 95% confidence interval 1.1-2.6, for each increase of 5 breaths/min). CONCLUSION: There is a high rate of failure of outpatient therapy (61%) in @entity1 discharged with a primary diagnosis of @entity712 from an urban county hospital @entity341 . Increased respiratory rate on presentation to the @entity341 may be associated with adverse outcomes after @entity341 discharge for @entity712 .

Outcomes after emergency department discharge with a primary diagnosis of XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity341 :: ('MESH:D004630', 'Disease') :: ['ED', 'emergency departments', 'return ED visits'] @entity712 :: ('MESH:D006333', 'Disease') :: ['chronic heart failure', 'CHF'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity712 :: (MESH:D006333,Disease) :: ['heart failure']
