{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:33:30Z","timestamp":1761561210006,"version":"build-2065373602"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2007,12,14]],"date-time":"2007-12-14T00:00:00Z","timestamp":1197590400000},"content-version":"vor","delay-in-days":43,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2007,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>A common challenge in improving performance measures regarding heart failure (HF) is identifying patients early in the course of their hospitalization so that multidisciplinary education and clinical interventions can be implemented. We describe the accuracy of using an electronic pharmacy\u2010based strategy to identify hospitalized patients likely to have a principal diagnosis of HF at discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>We evaluated 2 strategies. The first used the receipt of an intravenous loop diuretic as a single predictor; the second incorporated additional lab, pharmacy, and demographic information in a multivariable general estimating equation.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Receipt of an intravenous diuretic predicted a discharge diagnosis of heart failure with a sensitivity of 0.89 and a specificity of 0.87. Adding age, B\u2010type natriuretic peptide level, previous hospitalizations, attending physician specialty, and receipt of spironolactone into the predictor improved the sensitivity to 0.91 and the specificity to 0.89.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The receipt of intravenous loop diuretics is a reasonable and easily implemented screening test to identify patients likely to have a principal diagnosis of heart failure at discharge. The accuracy is improved by incorporating other electronically available variables. Journal of Hospital Medicine 2007;2:409\u2013414. \u00a9 2007 Society of Hospital Medicine.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.284","type":"journal-article","created":{"date-parts":[[2007,12,14]],"date-time":"2007-12-14T19:49:13Z","timestamp":1197661753000},"page":"409-414","source":"Crossref","is-referenced-by-count":6,"title":["An electronic strategy to identify hospitalized heart failure patients"],"prefix":"10.1002","volume":"2","author":[{"given":"Lakshmi K.","family":"Halasyamani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Czerwinski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemary","family":"Clinard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark E.","family":"Cowen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,12,14]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1527-5299.2005.04458.x"},{"issue":"6","key":"e_1_2_5_3_2","first-page":"S1","article-title":"Strategies to reduce hospitalization in the management of heart failure","volume":"10","author":"Berkowitz R","year":"2005","journal-title":"Lippincotts Case Manag."},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.crd.0000135765.60824.2f"},{"issue":"1","key":"e_1_2_5_5_2","first-page":"40","article-title":"Systematic review of multidisciplinary interventions in heart failure","volume":"173","author":"Holland R","year":"2005","journal-title":"Heart."},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.13.1469"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.11.1358"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(01)01699-0"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2001.111956"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2005.01.027"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1982.03320430047030"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/45.3-4.562"}],"container-title":["Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjhm.284","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.284","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhm.284","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.284","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T19:20:17Z","timestamp":1760642417000},"score":1,"resource":{"primary":{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/10.1002\/jhm.284"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,11]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2007,11]]}},"alternative-id":["10.1002\/jhm.284"],"URL":"https:\/\/doi.org\/10.1002\/jhm.284","archive":["Portico"],"relation":{},"ISSN":["1553-5592","1553-5606"],"issn-type":[{"type":"print","value":"1553-5592"},{"type":"electronic","value":"1553-5606"}],"subject":[],"published":{"date-parts":[[2007,11]]}}}