| Impact of heart failure management unit on heart failure-related readmission rate and mortality. | |
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MedLine Citation:
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PMID: 20226428 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Evaluation Studies; Journal Article Date: 2010-02-26 |
Journal Detail:
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Title: Archives of cardiovascular diseases Volume: 103 ISSN: 1875-2128 ISO Abbreviation: Arch Cardiovasc Dis Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-03-15 Completed Date: 2010-06-03 Revised Date: 2011-04-25 |
Medline Journal Info:
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Nlm Unique ID: 101465655 Medline TA: Arch Cardiovasc Dis Country: Netherlands |
Other Details:
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Languages: eng Pagination: 90-6 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Nancy University Hospital, Vandoeuvre-lès-Nancy, France. |
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| MeSH Terms | |
Descriptor/Qualifier:
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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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