Key result
Specialized medical care for heart failure was associated with higher 2-year survival compared to standard outpatient care (89.8% vs 70.1%; OR 0.3; 95% CI 0.2-0.4; P<0.001).
Why the study?
To determine the causes of ineffective observation and poor prognosis in real clinical practice after ADHF, and to consider the basics of specialized medical care for patients with heart failure.
Does specialized outpatient monitoring improve survival and reduce re-admissions in patients with heart failure after acute decompensation compared to standard outpatient clinic monitoring?
Cohort (n=942)
No
Does specialized outpatient monitoring improve survival and reduce re-admissions in patients with heart failure after acute decompensation compared to standard outpatient clinic monitoring?
Odds Ratio: 0.3 (95% CI 0.2–0.4)
Absolute Event Rate: 89.8% vs 70.1%
p-value: p=<0.001
Specialized medical care for heart failure patients after acute decompensation significantly improves 2-year survival and reduces re-hospitalizations compared to standard outpatient care.
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Supports specialized post-decompensation HF monitoring; hypothesis-generating pending randomized confirmation.
Фомин et al. (2020) conducted a cohort in chronic heart failure (n=942). Specialized medical care in a heart failure center vs. Outpatient clinics at the place of residence was evaluated on Survival (OR 0.3, 95% CI 0.2-0.4, p=<0.001). Specialized medical care for heart failure was associated with higher 2-year survival compared to standard outpatient care (89.8% vs 70.1%; OR 0.3; 95% CI 0.2-0.4; P<0.001).
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