OBJECTIVE: To determine whether the presence of a short-stay unit(SSU) in a hospital influences the percentage of admissions, length of hospital stay(LOS) and outcomes in emergency department( @entity2613 ) @entity1 with @entity712 (AHF). METHOD: Retrospective analysis of AHF @entity1 presenting to one of 34 Spanish @entity2613 included in EAHFE registry. Baseline and @entity2613 data of @entity1 were collected. @entity1 were classified into two groups in function of being attended at hospitals with or without a SSU. Main outcome variables were the percentage of admissions from @entity2613 , and LOS for admitted @entity1 . Secondary variables were all-cause @entity204 and @entity2613 revisits for worsening @entity712 within 30days following discharge. RESULTS: Of 9078 @entity1 presenting to the @entity2613 (SSU 5191; no SSU 3887), 6796 (74.8%) were admitted. Compared to hospitals without a SSU, the admission rate in hospitals with a SSU was 8.9% higher (95%CI 6.5%-11.4%), but 30-day @entity2613 revisit and mortality rates were lower among @entity1 discharged directly from the @entity2613 (-10.3%, 95%CI -16,9% to -3.7%; and -10.0%, 95%CI -16.6 to -3.4%, respectively). For admitted @entity1 , the overall LOS was 9.3  9.5days, being 2.2days shorter (95%CI -2.7 to -1.7) in hospitals with a SSU, with no significant differences in in-hospital, 30-day mortality or 30-day @entity2613 revisit rates. CONCLUSIONS: The data suggest that SSU may improve the safety of emergency care of @entity1 with AHF, but at the cost of a higher rate of hospital admissions, and it may also reduce the LOS for admitted @entity1 without affecting post discharge safety.

The effect of a short-stay unit on hospital admission and length of stay in XXXX : REDUCE-AHF study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity712 :: ('MESH:D006333', 'Disease') :: ['acute heart failure', 'heart failure'] @entity2613 :: ('MESH:C536181', 'Disease') :: ['ED'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity712 :: (MESH:D006333,Disease) :: ['acute heart failure']
