The impact of an integrated heart failure service in a medium-sized district general hospital

ObjectivesAssessing the impact of a new integrated heart failure service (IHFS) in a medium-sized district general hospital (DGH) on heart failure (HF) mortality, readmission rates, and provision of HF care.MethodsA retrospective, observational study encompassing all patients admitted with a diagnos...

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Bibliographic Details
Published in:Open heart 2020-05, Vol.7 (1), p.e001218
Main Authors: Hawley, Alasdair, He, Jingzhou, Crabtree, Alice, Iacovides, Stelios, Keeling, Phil
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Audits
Cardiology
Cardiology Service, Hospital - organization & administration
Cardiovascular Agents - therapeutic use
Delivery of Health Care, Integrated - organization & administration
Ejection fraction
Female
Heart failure
Heart Failure - diagnosis
Heart Failure - drug therapy
Heart Failure - mortality
Heart Failure - physiopathology
Heart Failure and Cardiomyopathies
Hospital Bed Capacity
Hospital Mortality
Hospitals
Hospitals, District - organization & administration
Hospitals, General - organization & administration
Humans
Length of Stay
Male
Mortality
Patient Readmission
Patients
Peptides
Program Evaluation
Recovery of Function
Retrospective Studies
Time Factors
Treatment Outcome
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Summary:ObjectivesAssessing the impact of a new integrated heart failure service (IHFS) in a medium-sized district general hospital (DGH) on heart failure (HF) mortality, readmission rates, and provision of HF care.MethodsA retrospective, observational study encompassing all patients admitted with a diagnosis of HF over two 12-month periods before (2012/2013), and after (2015/2016) IHFS establishment.ResultsTotal admissions for HF increased by 40% (385 vs 540), with a greater number admitted to the cardiology ward (231 vs 121). After IHFS implementation, patients were more likely to see a cardiologist (35.1% vs 43.7%, p=0.009), undergo echocardiography (70.1% vs 81.5%, p
ISSN:2053-3624
2398-595X
2053-3624
DOI:10.1136/openhrt-2019-001218