Key result
Care by hospitalists for congestive heart failure was associated with a 13-40% reduction in length of stay (P=0.002) and reduced costs per case (P<0.001) compared to community physicians.
Why the study?
Does care by hospitalists compared to community physicians improve resource utilization and clinical outcomes in patients with congestive heart failure?
Population
342 patients treated for congestive heart failure at a community-based teaching hospital
Comparison
Care provided by hospitalists vs Care provided by community physicians
Design
Cohort
Follow-up
In-hospital and readmission period
Authors
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May reduce HF resource use; leaves open causal outcome benefits and need for RCTs before practice change.
Observational (n=342)
No
Does care by hospitalists compared to community physicians improve resource utilization and clinical outcomes in patients with congestive heart failure?
Care by hospitalists for congestive heart failure is associated with earlier use of guideline-directed medical therapy, shorter length of stay, and lower costs compared to care by community physicians.
Roytman et al. (2008) conducted an observational in Congestive heart failure (n=342). Care by hospitalists vs. Care by community physicians was evaluated on Adjusted length of stay (LOS), costs per case, in-hospital mortality, acute renal failure rate, and readmission rate. Care by hospitalists for congestive heart failure was associated with a 13-40% reduction in length of stay (P=0.002) and reduced costs per case (P<0.001) compared to community physicians.
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