RESICARD: East Paris network for the management of heart failure: Absence of effect on mortality and rehospitalization in patients with severe heart failure admitted following severe decompensation
Autor: | Alain Cohen-Solal, Robert Boukobza, Henry Krys, Magali Viaud, Yann Bourgueil, Thomas Renaud, Ariel Cohen, Aleksandra Bundalo, Patrick Assyag, Pierre-Louis Michel |
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Rok vydání: | 2009 |
Předmět: |
Male
Health Knowledge Attitudes Practice Paris medicine.medical_specialty Time Factors Heart disease Management of heart failure Heart failure Kaplan-Meier Estimate Mortalité Patient Readmission Risk Assessment Severity of Illness Index Disease-Free Survival Medication Adherence Patient Education as Topic Risk Factors Cause of Death Health care Epidemiology Ambulatory Care Humans Medicine Decompensation Prospective Studies Mortality Intensive care medicine Aged Proportional Hazards Models Aged 80 and over Patient Care Team business.industry Public health General Medicine Middle Aged medicine.disease Hospitalization Insuffisance cardiaque Treatment Outcome Female Cardiology Service Hospital Family Practice business Cardiology and Cardiovascular Medicine Program Evaluation Patient education |
Zdroj: | Archives of Cardiovascular Diseases. 102(1):29-41 |
ISSN: | 1875-2136 |
DOI: | 10.1016/j.acvd.2008.10.013 |
Popis: | Summary Background Heart failure presents a major public health problem due to its high prevalence and the increasing number of hospital admissions for this condition. A coordinated healthcare network involving general practitioners and cardiologists was set up in the east of Paris in an effort to improve the management and outcomes of patients with severe heart failure. Aims To reinforce patient education, improve compliance with medications and identify symptoms requiring treatment modification. Methods In this ‘before and after’ study, the control group comprised patients hospitalized for severe heart failure who received conventional management in the year preceding the network set-up. The comparative group consisted of patients hospitalized for severe heart failure who underwent network-led care. Results No significant differences were found between rates of first rehospitalization and all-cause mortality at 1 year between control and network groups, or between rates of first hospitalization due to cardiac causes, time to the first event, duration of hospitalization, rates of cardiac death or time to death. Conclusions In this non-randomized study, we found no benefit from management according to the RESICARD healthcare network in terms of mortality or hospitalization in patients with severe chronic heart failure. |
Databáze: | OpenAIRE |
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