Congestive heart failure (CHF) is a serious problem, responsible for one of the highest rates of hospitalization in the United States for any medical condition. This study evaluated the effectiveness of a multidisciplinary, outpatient CHF clinic in decreasing the number of hospitalizations that CHF patients required. The clinic combines intensive patient and family education with aggressive follow-up. A major aspect of the research project was developing a computerized database for maintaining the large volume of information generated by the CHF clinic. Once that database was established, records of 20 clinic patients were examined for a 6-month period surrounding each patient's date of enrollment. Characteristics of each patient during the 3-month preclinic period were compared with those of the 3-month postclinic period, including all admissions, all days in the hospital, admissions due to CHF, and days in the hospital due to CHF. There was a mean reduction of 0.733 admissions of all types and a mean reduction of 5.2 inpatient days for all admissions. There was a mean reduction of 0.8 admissions for CHF and a mean reduction of 4.067 inpatient days for CHF. All four reductions were statistically significant (P < .05). Results suggest that the CHF clinic was effective in reducing the number of, and length of stay during, hospitalizations.

译文

:充血性心力衰竭(CHF)是一个严重的问题,是美国任何医疗条件下最高的住院率之一。这项研究评估了多学科的门诊CHF诊所在减少CHF患者所需住院次数方面的有效性。该诊所将强化的患者和家庭教育与积极的随访相结合。该研究项目的主要方面是开发一个计算机数据库,以维护瑞士法郎诊所产生的大量信息。建立该数据库后,将检查20名临床患者的记录,历时6个月,与每个患者的入院日期相关。将每个患者在3个月的临床前期与3个月的临床后期的特征进行比较,包括所有入院,全天住院,因瑞士法郎入院和因瑞士法郎入院的天数。所有类型的入院人数平均减少0.733,所有住院的住院天数平均减少5.2。 CHF的平均住院人数减少了0.8,而CHF的住院天数平均减少了4.067。所有四个减少均具有统计学意义(P <.05)。结果表明,CHF诊所可有效减少住院次数和住院时间。

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