Document Detail


A comparison of one-year outcome in adult patients with heart failure in two medical setting: heart failure clinic and daily physician practice.
MedLine Citation:
PMID:  19374295     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: 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. MATERIAL AND METHOD: The authors followed 100 patients who received care in the heart failure clinic (n = 50) or the usual care (n = 50) for twelve months. RESULTS: 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). CONCLUSION: The heart failure clinic reduces hospital readmission and improves cardiac function and quality of life for heart failure patients.
Authors:
Anek Kanoksilp; Kriengkrai Hengrussamee; Punsak Wuthiwaropas
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the Medical Association of Thailand = Chotmaihet thangphaet     Volume:  92     ISSN:  0125-2208     ISO Abbreviation:  J Med Assoc Thai     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-20     Completed Date:  2009-05-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507216     Medline TA:  J Med Assoc Thai     Country:  Thailand    
Other Details:
Languages:  eng     Pagination:  466-70     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Chest Disease Institute, Nonthaburi, Thailand. akanok@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Exercise Tolerance
Female
Follow-Up Studies
Heart Failure / mortality*,  therapy
Humans
Male
Outcome Assessment (Health Care)
Outpatient Clinics, Hospital*
Patient Readmission / statistics & numerical data*
Quality of Life
Stroke Volume
Survival Analysis
Ventricular Dysfunction, Left / mortality*,  therapy

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


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