Mount Carmel Health Partners Clinical Guidelines Heart Failure

Reducing Readmissions from the Emergency Department • Discharge low-risk patients • Risk Stratification for appropriate treatment ◦ Patients with significant comorbidities that would prevent discharge, such as diabetes or superimposed pneumonia • Appropriate utilization of observation • For patients stable enough to discharge, arrange post-ED visit follow-up Comorbidities in Heart Failure Patients Anemia • In NYHA class II and III HF and iron deficiency, intravenous iron replacement may be reasonable to improve functional status and quality of life. • Erythropoietin - stimulating agent should not be given due to no evidence of therapeutic benefit. Sleep Disorder • Patients with cardiovascular disease and obstructive sleep apnea, CPAP maybe reasonable to improve sleep quality and daytime sleepiness. • Patients with NYHA class II - IV HF r EF and central sleep apnea adaptive servo-ventilation causes harm. Heart Failure ICD– 10 Codes Diagnosis Code Description I50 Heart failure I50.1 Left ventricular failure I50.2 Systolic heart failure I50.20 Unspecified systolic heart failure I50.21 Acute systolic heart failure I50.22 Chronic systolic heart failure I50.23 Acute on chronic systolic heart failure I50.3 Diastolic heart failure I50.30 Unspecified diastolic heart failure I50.31 Acute diastolic heart failure I50.32 Chronic diastolic heart failure I50.33 Acute on chronic diastolic heart failure I50.4 Combined systolic and diastolic heart failure I50.41 Acute combined systolic and diastolic heart failure I50.42 Chronic systolic and diastolic heart failure I50.43 Acute on chronic systolic and diastolic heart failure I50.9 Heart failure, unspecified Heart Failure - 6

Mount Carmel Health Partners Clinical Guidelines Heart Failure | Page 6