Background: Heart failure (HF) is a common, progressive, complex clinical syndrome, that affects approximately 5.7 million adults in the United States and the statistics are only expected to rise as the population ages. HF is the most common inpatient admitting diagnosis for patients over the age of 65. Despite a variety of pharmacologic and nonpharmacolgic therapies that have been shown to improve outcomes, acute care readmissions in this population remain high. Nearly one in four patients with HF are readmitted within 30 days ofhospitalization. January 2009 to March 2009 Hoag Hospital experienced readmission rates for heart failure of 25.9% within 30 days of hospital discharge. Nurse Practitioners (NPs) knowledge of health assessment, advanced pathophysiology, pharmacology, clinicaldecision-making, and diagnostic reasoning make them an ideal candidate to manage this complex patient population and contribute to decreasing hospital readmissions.
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