Table 4.
Population stratified by ED diagnosis and then subcategorized by a discrepant or congruent diagnosis based on discharge diagnosis. Data are presented as median and interquartile ranges or frequencies and percentages as appropriate.
| ED Diagnosis | ||||||||
|---|---|---|---|---|---|---|---|---|
| No AHFS | AHFS | |||||||
|
| ||||||||
| What was the discharge diagnosis? | What was the discharge diagnosis? | |||||||
| No AHFS | AHFS | No AHFS | AHFS | |||||
| Demographics | ||||||||
| Age (years) | 60 | 49–72 | 63 | 54–79 | 68 | 51–75 | 64 | 52–76 |
| Female | 64 | 45.7 | 19 | 45.2 | 19 | 37.3 | 115 | 46.0 |
| African American | 48 | 34.3 | 14 | 33.3 | 13 | 25.5 | 89 | 35.6 |
| Caucasian | 92 | 65.7 | 28 | 66.7 | 38 | 74.5 | 160 | 64.0 |
|
| ||||||||
| Vital Signs | ||||||||
| Heart Rate (beats/min) | 90 | 78–99 | 84 | 71–102 | 82 | 71–98 | 87 | 74–104 |
| Temperature (degrees F) | 98.00 | 97.4–98.6 | 97.75 | 97.3–98.2 | 97.90 | 97.3–98.3 | 97.80 | 97.2–98.2 |
| Systolic BP (mmHg) | 141 | 126–159 | 140 | 113–159 | 137 | 121–154 | 139 | 121–158 |
| Diastolic BP (mmHg) | 78 | 67–92 | 75 | 65–95 | 76 | 63–88 | 81 | 69–93 |
| Respiratory Rate | 20 | 18–22 | 19 | 18–22 | 20 | 18–22 | 20 | 18–24 |
| Oxygen Saturation | 96 | 94–98 | 96 | 94–98 | 95 | 91–98 | 96 | 93–98 |
|
| ||||||||
| Lab Values | ||||||||
| BNP (pg/ml) | 109.00 | 38–297 | 168.00 | 78–748 | 474.00 | 220–1029 | 764.00 | 357–1517 |
| Sodium (mEq/L) | 138.00 | 136–140 | 137.00 | 133–139 | 139.00 | 136–141 | 138.00 | 136–140 |
| Glucose (mg/dl) | 115.00 | 98–145 | 116.50 | 93–152 | 120.00 | 100–155 | 120.00 | 103–148 |
| BUN (mg/dl) | 15.00 | 41239.00 | 25.50 | 15–40 | 26.00 | 16–43 | 23.00 | 14–39 |
| Creatinine (mg/dl) | 1.14 | 0.9–1.6 | 1.30 | 1.0–1.8 | 1.41 | 1.1–2.1 | 1.33 | 1.0–2.1 |
| Hemoglobin (g/dl) | 12.40 | 11.1–13.9 | 12.90 | 11.4–14.0 | 12.40 | 10.4–13.3 | 12.30 | 11.0–13.9 |
|
| ||||||||
| Chest X-ray Findings | ||||||||
| Pulmonary Edema | 1 | 0.7 | 0 | 0.0 | 6 | 11.8 | 29 | 11.7 |
| Infiltrates | 36 | 26.5 | 9 | 22.0 | 15 | 29.4 | 54 | 21.9 |
| Pleural Effusion | 27 | 19.9 | 5 | 12.2 | 13 | 25.5 | 78 | 31.6 |
| Interstitial Edema | 6 | 4.4 | 1 | 2.4 | 10 | 19.6 | 28 | 11.3 |
|
| ||||||||
| Exam Findings | ||||||||
| Rales or Crackles | 60 | 43.2 | 14 | 35.0 | 34 | 66.7 | 144 | 58.1 |
| S3 Gallop | 4 | 3.2 | 4 | 10.5 | 3 | 6.8 | 33 | 15.6 |
| JVD | 19 | 16.4 | 6 | 17.6 | 9 | 23.1 | 62 | 30.2 |
| Extremity Edema | 81 | 58.3 | 27 | 65.9 | 30 | 58.8 | 152 | 62.0 |
|
| ||||||||
| Medical History | ||||||||
| Renal Disease | 24 | 17.1 | 10 | 23.8 | 13 | 25.5 | 61 | 24.4 |
| Heart Failure | 56 | 40.0 | 36 | 85.7 | 26 | 51.0 | 218 | 87.2 |
| COPD | 69 | 49.3 | 19 | 45.2 | 29 | 56.9 | 87 | 34.8 |
| Hypertension | 113 | 80.7 | 38 | 90.5 | 48 | 94.1 | 216 | 86.4 |
| Myocardial Infarction | 29 | 20.7 | 16 | 38.1 | 19 | 37.3 | 100 | 40.0 |
| CABG | 22 | 15.7 | 10 | 23.8 | 13 | 25.5 | 73 | 29.2 |
| Pacemaker | 17 | 12.1 | 12 | 28.6 | 6 | 11.8 | 68 | 27.2 |
| ICD | 13 | 9.3 | 8 | 19.0 | 6 | 11.8 | 57 | 22.8 |
BP=blood pressure; BNP=B-type natriuretic peptide; BUN=blood urea nitrogen; JVP=jugular venous pressure; CRI=chronic renal insufficiency; COPD=chronic obstructive pulmonary disease; CABG=coronary artery bypass grafting; ICD=implantable cardioverter defibrillator