The impact of an integrated heart failure service in a medium-sized district general hospital

Autor: jingzhou He, Alice Crabtree, Alasdair Hawley, Stelios Iacovides, Phil Keeling
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Open Heart, Vol 7, Iss 1 (2020)
Druh dokumentu: article
ISSN: 2053-3624
DOI: 10.1136/openhrt-2019-001218
Popis: Objectives Assessing the impact of a new integrated heart failure service (IHFS) in a medium-sized district general hospital (DGH) on heart failure (HF) mortality, readmission rates, and provision of HF care.Methods A retrospective, observational study encompassing all patients admitted with a diagnosis of HF over two 12-month periods before (2012/2013), and after (2015/2016) IHFS establishment.Results Total admissions for HF increased by 40% (385 vs 540), with a greater number admitted to the cardiology ward (231 vs 121). After IHFS implementation, patients were more likely to see a cardiologist (35.1% vs 43.7%, p=0.009), undergo echocardiography (70.1% vs 81.5%, p
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