Heart failure & cardiomyopathies

Nurse-Led Diuretic Titration Via a Point-of-Care Urinary Sodium Sensor in Patients with Acute Decompensated Heart Failure (EASY-HF): A Single-Centre, Randomized, Open-Label Study

Eur J Heart FailPublished Randomised controlled trial

Authors' conclusion

A nurse-led diuretic titration protocol via a point-of-care urinary sodium sensor was feasible, safe and resulted in an increased natriuresis in ADHF compared to SOC.

Study context

Population
Patients with acute decompensated HF (mean age 80 ± 8 years, 25% women)
Participants
60 patients
Comparison
Nurse-led natriuresis-guided diuretic protocol vs standard of care (SOC)
  • Protocolized caren = 30
  • SOCn = 30reference
Primary endpoint
Natriuresis
Follow-up
48 h
Methodological detailssingle-centre, open-label
  • Single-centre
  • Open-label

Primary result

As reported in the abstract

P = 0.027

Secondary outcomes

User-friendliness

Sensor-based protocol evaluated as easy to use by nursing staff and preferred over urinary collections

Safety

Pre-defined safety endpoints

Similar in both groups

Original publication

Nurse-Led Diuretic Titration Via a Point-of-Care Urinary Sodium Sensor in Patients with Acute Decompensated Heart Failure (EASY-HF): A Single-Centre, Randomized, Open-Label Study. Eur J Heart Fail. Published 14 August 2024. doi:10.1002/ejhf.3429

Summarised from the published abstract; every number is checked against it

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