J Med Assoc Thai 2009; 92 (4):466

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A Comparison of One-Year Outcome in Adult Patients with Heart Failure in Two Medical Setting: Heart Failure Clinic and Daily Physician Practice
Kanoksilp A Mail, Hengrussamee K , Wuthiwaropas P

Objective: To compare between adult patients with heart failure after hospital discharge in a heart failure
clinic and daily practice in terms of survival, readmission rate, and quality of life.

Material and Method:
The authors followed 100 patients who received care in the heart failure clinic (n = 50)
or the usual care (n = 50) for twelve months.

Results: 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-minute
walk 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).

Conclusion: The heart failure clinic reduces hospital readmission and improves cardiac function and quality
of life for heart failure patients.

Keywords:
Exercise test, Heart failure, Patient readmission, Quality of life, Stroke volume, Survival, Ventricular
function, Left, Walking

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