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  • Title: A comparison of one-year outcome in adult patients with heart failure in two medical setting: heart failure clinic and daily physician practice.
    Author: Kanoksilp A, Hengrussamee K, Wuthiwaropas P.
    Journal: J Med Assoc Thai; 2009 Apr; 92(4):466-70. PubMed ID: 19374295.
    Abstract:
    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.
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