Journal of the Medical Association of Thailand Vol 92, No 4:APRIL 2009 0125-2208 92 4 2009 Apr A Comparison of One-Year Outcome in Adult Patients with Heart Failure in Two Medical Setting: Heart Failure Clinic and Daily Physician Practice 466 EN Anek Kanoksilp Kriengkrai Hengrussamee Punsak Wuthiwaropas Original Article To compare between adult patients with heart failure after hospital discharge in a heart failureclinic and daily practice in terms of survival, readmission rate, and quality of life. The authors followed 100 patients who received care in the heart failure clinic (n = 50)or the usual care (n = 50) for twelve months. During follow-up, patients in the heart failure clinic group had fewer readmissions (12 vs. 23;p = 0.04). There were eight deaths in the control group and seven deaths in the heart failure clinic group(p = 0.45). At the end of the present study, mean left ventricular ejection fraction, mean distance of 6-minutewalk test, and mean quality of life scores in the treatment group improved more than in the control group(p = 0.038; 0.032; 0.048, respectively). The heart failure clinic reduces hospital readmission and improves cardiac function and qualityof life for heart failure patients. Exercise test Heart failure Patient readmission Quality of life Stroke volume Survival Ventricularfunction Left Walking