Clinical Pathway – Emergency Department Discharge – BioTelemetry, a Philips company

Emergency Department Discharge Pathway

Improve ED workflow and better coordinate care teams to improve outcomes for patients and systems

Philips cardiac ambulatory monitoring can help break the ED readmission cycle for appropriate patients¹

ED patients that could benefit from cardiac ambulatory monitoring

Syncope

Atrial fibrillation

Palpitations

Dizziness or lightheadedness

Neurological symptoms

Other transient symptoms possibly due to an arrhythmia

Growing challenges facing the Emergency Department

Emergency departments across the country are challenged with maintaining quality care through staff shortages, overcrowding, longer wait times, and shortages of critical beds. To better manage ED patient workflow and potentially reduce inpatient stays, appropriately selected patients can be discharged home with outpatient arrhythmia monitoring using Mobile Cardiac Telemetry-MCOT. As a result, patients can be efficiently triaged to the appropriate care setting to increase the availability of hospital resources and improve the detection of arrhythmias.

About 1 in 7 patients are readmitted within 30 days

of discharge – symptomatic AF is the most common cause.⁵

ED-discharged patients
had a 2.7x greater risk

of AF, stroke and death at 1 year – AF is associated with a 5x increased risk of ischemic stroke.^7,8

Clinical Resources

References:
1. Wei M, Do D, Tang P, et al. Optimal disposition for atrial fibrillation patients presenting to the emergency departments. J Am Coll Cardiol. 2018;71(11):A509. doi:10.1016/S0735-1097(18)31050-7

“Emergency physicians are in a unique position to play a key role in enabling an outpatient plan for eligible patients presenting with AF. The ED serves as a key access point to reshape the care of patients with AF by offering early interventions that would ultimately help reduce avoidable hospitalizations and alleviate the tremendous burden that AF places on the U.S. healthcare system.”

EP Lab Digest

Philips cardiac ambulatory monitoring can help break the ED readmission cycle for appropriate patients¹

References:
1. Lukyanov V, Parikh P, Luke H, et al. Outpatient cardiac telemetry monitoring for early patient discharge: continuous focused rhythm surveillance for patients recovering outside of the hospital setting. J Cardiol Curr Res. 2022;15(3):89-92. doi:10.15406/jccr.2022.15.00559
2. Keler , G. Emergency Department Crowding: The Canary in the Healthcare System. NEJM (2021). https://catalyst.nejm.org/doi/full/10.1056/CAT.21.0217.
3. Locklaer, M. Emergency department crowding crisis levels, risking patient safety. Medical Xpress. (2022). https://medicalxpress.com/news/2022-10-emergency-department-crowding-crisis-patient.html
4. RJ Salway, R Valenzuela, JM Shoenberger, WK Mallon, A Viccellio, EMERGENCY DEPARTMENT (ED) OVERCROWDING: EVIDENCE-BASED ANSWERS TO FREQUENTLY ASKED QUESTIONS. https://doi.org/10.1016/j.rmclc.2017.04.008
5. Tripathi B, Atti V, Kumar V, et al. Outcomes and resource utilization associated with readmissions after atrial fibrillation hospitalizations. J Am Heart Assoc. 2019;8:e013026. doi:101161/JAHA.119.013026
6. Pham, J. Characteristics of Frequent Users of Three Hospital Emergency Departments. AHRG. (2017). https://www.ahrq.gov/patient-safety/settings/emergency-dept/frequentuse.html
7. Wei M, Do D, Tang P, et al. Optimal disposition for atrial fbrillation patients presenting to the emergency departments. J Am Coll Cardiol. 2018;71(11):A509. doi:10.1016/S0735-1097(18)31050-7
8. Virani SS, Alonso A, Aparicio HJ, et al. American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation. 2021;143(8):e254-e743. doi:10.1161/CIR.0000000000000950

Improve ED workflow and better coordinate care teams to improve outcomes for patients and systems

Growing challenges facing the Emergency Department

About 1 in 7 patients are readmitted within 30 days

ED-discharged patients
had a 2.7x greater risk

References:
1. Wei M, Do D, Tang P, et al. Optimal disposition for atrial fibrillation patients presenting to the emergency departments. J Am Coll Cardiol. 2018;71(11):A509. doi:10.1016/S0735-1097(18)31050-7

Speak to a representative to learn more

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Improve ED workflow and better coordinate care teams to improve outcomes for patients and systems

Growing challenges facing the Emergency Department

About 1 in 7 patients are readmitted within 30 days

ED-discharged patients had a 2.7x greater risk

References: 1. Wei M, Do D, Tang P, et al. Optimal disposition for atrial fibrillation patients presenting to the emergency departments. J Am Coll Cardiol. 2018;71(11):A509. doi:10.1016/S0735-1097(18)31050-7

Speak to a representative to learn more

Stay up-to-date and subscribe to our newsletter

ED-discharged patients
had a 2.7x greater risk

References:
1. Wei M, Do D, Tang P, et al. Optimal disposition for atrial fibrillation patients presenting to the emergency departments. J Am Coll Cardiol. 2018;71(11):A509. doi:10.1016/S0735-1097(18)31050-7