Multicenter randomized trial of a comprehensive hospital discharge and outpatient heart failure management program

  • Atienza F
  • Anguita M
  • Martinez-Alzamora N
 et al. 
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Aims: Disease management programs can reduce hospitalizations in high-risk heart failure (HF) patients, but generalizability to the population hospitalized for HF remains to be proven. We aimed to assess the effectiveness of a discharge and outpatient management program in a non-selected cohort of patients hospitalized for HF. Methods and results: Patients admitted with decompensated HF were randomized to receive usual care (n=174) or an intervention (n=164) consisting of a comprehensive hospital discharge planning and close follow-up at a HF clinic. After a median of 509 days, there were fewer events (readmission or death) in the intervention as compared with the control group (156 vs. 250), which represents 47% (95%CI: 29-65; P

Author-supplied keywords

  • Disease management programs
  • Heart failure
  • Heart failure clinic
  • Mortality
  • Readmissions

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