[Medico-economic impact of an innovative management of CHF by HF unit].
Chronic heart failure remains a frequent, severe and costly disease. Despite encouraging data from different countries, heart failure clinics are scarce in France. We have analyzed the impact of a heart failure clinic (UTIC of Pontoise) in terms of reduction of rehospitalizations and in hospitalization costs in 4855 consecutive patients. In our study, heart failure clinic management dramatically reduces HF related hospitalizations (RRR: -28 %, P=0.001) and HF related costs (55% reduction, P<0.001) regardless of comorbidities or disease severity. HF clinics have to be developed in France in order to optimize management of CHF and reduce the HF related costs.
Unité thérapeutique d'insuffisance cardiaque, CHR Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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Baudouin
DIM, CHR Dubos, 95300 Pontoise, France.
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S
Groshens
Unité thérapeutique d'insuffisance cardiaque, CHR Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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P
Gueneau
Unité thérapeutique d'insuffisance cardiaque, CHR Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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Rousseau
Unité thérapeutique d'insuffisance cardiaque, CHR Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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M
Saura
Unité thérapeutique d'insuffisance cardiaque, CHR Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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N
Hryschyschyn
Unité thérapeutique d'insuffisance cardiaque, CHR Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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A
Hillani
Unité thérapeutique d'insuffisance cardiaque, CHR Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France.
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J
Dagorn
Instituto de Cardiologia, Porto Alegre, RS, 90040-371, Brésil.
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Pitthan
Unité thérapeutique d'insuffisance cardiaque, CHR Dubos, 6, avenue de l'Île-de-France, 95300 Pontoise, France. Electronic address: Patrick.jourdain@ch-pontoise.fr.
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Jourdain
D000368:Aged; D000553:Ambulatory Care / Q000191:economics / Q000706:statistics & numerical data; D005260:Female; D005602:France; D017048:Health Care Costs; D006333:Heart Failure / Q000191:economics* / Q000628:therapy*; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Heart failure; Heart failure clinics; Hôpital de jour; Insuffisance cardiaque; Management; Outpatient; Prise en charge ambulatoire