Table 1.

Inclusion/exclusion

Inclusion	Exclusion
Age >18 years	New HF
Community dwelling	HR >100 or >120 on ambulation
Previous diagnosis of HF (systolic or diastolic)	Resting SaO2 <90% after triage and initial treatment in ED
Lives with 25 miles of ED	SBP <100 mm Hg or >160 mm Hg after triage and initial treatment in ED
Appropriate home support	New ischaemic changes on ECG or new arrhythmia
Telephone access	Creatinine >2×baseline, CKD stage V or ESRD on HD
Informed consent	Delirium or dementia without appropriate home support
Need for intravenous diuretics	Lack of social support/unstable living situation

Acute decompensation of HF defined as a worsening of both specific chronic heart failure signs (peripheral oedema, pulmonary rales) and symptoms (dyspnoea, fatigue) caused by abnormal cardiac function and supported by appropriate investigations (electrocardiography, chest X-ray, laboratory tests, echocardiogram).

CKD, chronic kidney disease; ED, emergency department; ESRD, end-stage renal disease; HD, haemodialysis; HF, heart failure; HR, heart rate; SBP, systolic blood pressure.