title: The impact of an outpatient heart failure clinic on hospital costs and admissions.
abstract: This study of 216 congestive heart failure (CHF) patients at a large teaching hospital in south-central Ontario was undertaken to determine whether the patients managed in an outpatient heart failure clinic used fewer hospital resources (as expressed in number of admissions, complexity of admission, and length of stay (LOS)) than a matched cohort who were not managed in an outpatient clinic. Statistical significance of LOS opportunities could not be demonstrated (owing to sample size), however, the heart failure clinic is making a positive impact on all types of admissions (CHF and non-CHF) in terms of LOS and suggests that management in an outpatient setting for chronic disease states is important for acute care hospitals to consider.
authors.affiliation: McMaster University, Hamilton Health Sciences-General Site, Hamilton, Ontario, Canada.
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Gregoroff
authors.forename: Robert S
authors.initials: RS
authors.lastname: McKelvie
authors.forename: Sylvia
authors.initials: S
authors.lastname: Szabo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002017:Budgets; D006328:Cardiac Catheterization / Q000191:economics / Q000706:statistics & numerical data; D002648:Child; D002908:Chronic Disease / Q000191:economics; D015331:Cohort Studies; D005260:Female; D006333:Heart Failure / Q000150:complications / Q000191:economics* / Q000453:epidemiology / Q000628:therapy*; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000639:trends*; D006784:Hospitals, Teaching / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000191:economics / Q000453:epidemiology / Q000628:therapy; D009864:Ontario / Q000453:epidemiology; D010044:Outpatient Clinics, Hospital / Q000191:economics* / Q000706:statistics & numerical data*; D010343:Patient Admission / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014600:Utilization Review