Document Detail


Impact of heart failure management unit on heart failure-related readmission rate and mortality.
MedLine Citation:
PMID:  20226428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Heart failure is the leading cause of hospital admissions and an economic burden. In accordance with European guidelines, a dedicated heart failure unit was created in René Dubos Hospital (Pontoise, France) in 2002.
AIM: To evaluate the impact of an in-hospital heart failure management unit on heart failure prognosis.
METHODS: We conducted a descriptive study of all-cause in-hospital mortality and heart failure related readmission rates in the year after the first admission for heart failure, from January 1997 to December 2007. The Chi(2) test, a trend test and linear regression were performed.
RESULTS: There were no significant differences in patient characteristics (age, sex, diabetes mellitus, left ventricular ejection fraction<45%) other than renal insufficiency, in patients admitted for heart failure from 1997 to 2007. After the creation of the heart failure unit, we observed a significant decrease in heart failure related readmission rate from 21.7% in 2002 to 15.6% in 2007 (p<0.0001), whereas there was no difference in this rate before the creation of the unit (34.3% in 1997 and in 2001; p=0.90). All-cause in-hospital mortality rate decreased from 9.3% in 1997 to 5.1% in 2007 (p<0.0001) and showed a tendency to decrease after the creation of the heart failure unit (p=0.06).
CONCLUSION: Heart failure related readmission rates in new patients in the year after the first admission for heart failure reduced dramatically after the creation of the heart failure unit. All-cause in-hospital mortality in heart failure patients decreased over the 10-year study period.
Authors:
Stéphane Zuily; Patrick Jourdain; Daniel Decup; Nelly Agrinier; Jean Loiret; Serge Groshens; François Funck; Michel Bellorini; Yves Juillière; François Alla
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2010-02-26
Journal Detail:
Title:  Archives of cardiovascular diseases     Volume:  103     ISSN:  1875-2128     ISO Abbreviation:  Arch Cardiovasc Dis     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-15     Completed Date:  2010-06-03     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  101465655     Medline TA:  Arch Cardiovasc Dis     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  90-6     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Nancy University Hospital, Vandoeuvre-lès-Nancy, France.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Chi-Square Distribution
Coronary Care Units / statistics & numerical data*
Female
France / epidemiology
Heart Failure / mortality*,  therapy*
Hospital Mortality
Humans
Length of Stay / statistics & numerical data
Linear Models
Male
Middle Aged
Outcome and Process Assessment (Health Care) / statistics & numerical data*
Patient Readmission / statistics & numerical data*
Program Evaluation
Retrospective Studies
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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