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.

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

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