title: 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.
abstract: 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.
  
  
  OBJECTIVE
  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.
authors.affiliation: IRDES, Paris, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Assyag
authors.forename: Thomas
authors.initials: T
authors.lastname: Renaud
authors.forename: Alain
authors.initials: A
authors.lastname: Cohen-Solal
authors.forename: Magali
authors.initials: M
authors.lastname: Viaud
authors.forename: Henry
authors.initials: H
authors.lastname: Krys
authors.forename: Aleksandra
authors.initials: A
authors.lastname: Bundalo
authors.forename: Pierre-Louis
authors.initials: PL
authors.lastname: Michel
authors.forename: Robert
authors.initials: R
authors.lastname: Boukobza
authors.forename: Yann
authors.initials: Y
authors.lastname: Bourgueil
authors.forename: Ariel
authors.initials: A
authors.lastname: Cohen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000458:organization & administration*; D016507:Cardiology Service, Hospital / Q000458:organization & administration*; D002423:Cause of Death; D018572:Disease-Free Survival; D005194:Family Practice / Q000458:organization & administration*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006333:Heart Failure / Q000401:mortality* / Q000628:therapy*; D006760:Hospitalization; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D010297:Paris; D010348:Patient Care Team / Q000458:organization & administration*; D010353:Patient Education as Topic; D010359:Patient Readmission; D015397:Program Evaluation; D016016:Proportional Hazards Models; D011446:Prospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome