A comparison of one-year outcome in adult patients with heart failure in two medical setting: heart failure clinic and daily physician practice

Kanoksilp, A.; Hengrussamee, K.; Wuthiwaropas, P.

Journal of the Medical Association of Thailand 92(4): 466-470

2009


ISSN/ISBN: 0125-2208
PMID: 19374295
Document Number: 10496
To compare between adult patients with heart failure after hospital discharge in a heart failure clinic and daily practice in terms of survival, readmission rate, and quality of life. The authors followed 100 patients who received care in the heart failure clinic (n = 50) or the usual care (n = 50) for twelve months. During follow-up, patients in the heart failure clinic group had fewer readmissions (12 vs. 23; p = 0.04). There were eight deaths in the control group and seven deaths in the heart failure clinic group (p = 0.45). At the end of the present study mean left ventricular ejection fraction, mean distance of 6-minute walk test, and mean quality of life scores in the treatment group improved more than in the control group (p = 0.038; 0.032; 0.048, respectively). The heart failure clinic reduces hospital readmission and improves cardiac function and quality of life for heart failure patients.

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A comparison of one-year outcome in adult patients with heart failure in two medical setting: heart failure clinic and daily physician practice