[Reduction of rehospitalisation on elderly heart failure patients: A retrospective cohort VISage network].
BACKGROUND
Heart failure was a public health problem for one million of French patients. Patients are particularly concerned in rehospitalisation for this chronic pathology. A specific healthcare network was created to take care of patients with heart failure directly at home. This healthcare network (named VISage) brings a specific and adapted monitoring in heart failure. The main of this study was to evaluate the impact of healthcare network in rehospitalisation rate for heart failure of patients.


METHODS
We conducted a retrospective cohort study with patients' hospital files of the CH Vienne. Patients who were included in our healthcare network (VISage) were screened. Primary endpoint was 30days, 6 months, and 1year rehospitalisation rate for heart failure before and after using healthcare network.


RESULTS
One hundred and four patients with comorbidities were included between February 2009 and November 2015. A significant reduction of rehospitalisation rate for heart failure was observed before and after network: 0.65 (±0.52) vs. 0.17 (±0.43) 30days, 1.17 (±0.74) vs. 0.42 (±0.71) at 6 months and 1.35 (±0.95) vs. 0.47 (±0.74) at 1 year (P<0.0001). Results were significant for global rehospitalisation rate too. No significant differences were shown on hospital length of stay.


CONCLUSIONS
Coordinated healthcare by a specific network at home for elderly is benefic for the rehospitalisation rate.
Service d'accueil des urgences, centre hospitalier de Vienne, montée du Docteur-Chapuis, 38200 Vienne, France. Electronic address: d.labranche@ch-vienne.fr.
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Labranche
Service de cardiologie, centre hospitalier de Vienne, montée du Docteur-Chapuis, 38200 Vienne, France. Electronic address: c.mestre-fernandes@ch-vienne.fr.
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Mestre-Fernandes
Faculté de médecine Lyon Est, 69003 Lyon, France; Service de cardiologie, hôpital Louis-Pradel, hospices civils de Lyon, boulevard Pinel, 96500 Bron, France. Electronic address: francois.delahaye@chu-lyon.fr.
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Delahaye
Pôle IMEP, centre hospitalier de Troyes, 101, avenue Anatole-France, 10000 Troyes, France. Electronic address: sanchez-stephane@hotmail.fr.
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Sanchez
D000368:Aged; D000369:Aged, 80 and over; D001317:Austria; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006333:Heart Failure / Q000453:epidemiology* / Q000628:therapy*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D010348:Patient Care Team / Q000706:statistics & numerical data*; D010359:Patient Readmission / Q000706:statistics & numerical data*; D012189:Retrospective Studies
Elderly; Epidemiology; Healthcare network; Heart failure; Insuffisance cardiaque; Personne âgée; Rehospitalisation rate; Réhospitalisation; Réseau de soins; Épidémiologie