| Improved outcomes from a comprehensive management system for heart failure. | |
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MedLine Citation:
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PMID: 11595611 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: Congestive heart failure (CHF) is associated with a high readmission rate after diagnosis. We assessed the ability of a comprehensive management program (CMP) for CHF to reduce readmissions with secondary endpoints of improving quality of life, exercise capacity and targeted drug doses. METHODS AND RESULTS: Patients (pts) with: New York Heart Association Class (NYHA) III or IV CHF; left ventricular ejection fraction <40%; and stable outpatient therapy were assigned to a CMP of cardiology assessment intensive education and referral to a tailored exercise program. Forty-two pts (35 M, 7 F, mean age 54 years, S.D. 12 years) were enrolled. Two pts were transplanted, two died during follow-up and two were lost to follow-up. Hospital admissions were reduced by 87.2%, (mean 1.05, S.D. 0.98, admissions per pt to mean 0.08, S.D. 0.28, admissions per pt at 6-month follow-up; P<0.0001). ACE-inhibitor dose increased by 42% (P<0.0008) and beta-blocker dose increased by 61% (P<0.0001). NYHA Class, 6-min walk and quality of life scores all improved significantly (P<0.0001). CONCLUSION: A CMP improves QOL and exercise capacity as well as substantially reducing hospital admissions in CHF pts. This study validates the benefit of intensive outpatient care of CHF. |
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Authors:
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D P Holst; D Kaye; M Richardson; H Krum; D Prior; A Aggarwal; R Wolfe; P Bergin |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: European journal of heart failure Volume: 3 ISSN: 1388-9842 ISO Abbreviation: Eur. J. Heart Fail. Publication Date: 2001 Oct |
Date Detail:
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Created Date: 2001-10-11 Completed Date: 2001-12-05 Revised Date: 2011-06-08 |
Medline Journal Info:
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Nlm Unique ID: 100887595 Medline TA: Eur J Heart Fail Country: Netherlands |
Other Details:
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Languages: eng Pagination: 619-25 Citation Subset: IM |
Affiliation:
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Cardiovascular Medicine, Heart Centre, Alfred Hospital, Commercial Road, Prahran, Melbourne, Victoria 3181, Australia. d.holst@alfred.org.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Chronic Disease Disease Management* Female Heart Failure / rehabilitation*, therapy Humans Male Middle Aged Outcome Assessment (Health Care) / methods*, organization & administration Patient Readmission / statistics & numerical data Program Evaluation Prospective Studies Quality of Life Severity of Illness Index |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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