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Heart 1998;80:426-427; doi:10.1136/hrt.80.5.426
Copyright © 1998 BMJ Publishing Group Ltd & British Cardiovascular Society

Heart 1998;80:426-427 ( November )

Editorial

Heart failure clinics

The first 150 words of the full text of this article appear below.

Is there a need for outpatient heart failure clinics? During the past few decades, heart failure in industrialised countries has continuously increased, particularly in the elderly population,1,2 and the cost of frequent hospitalisations has had a strong economic impact on health services. In Scotland, the number of hospitalisations because of heart failure increased by almost 60% between 1980 and 1990.3 In the Netherlands, admissions with heart failure as principal discharge diagnosis rose 48% for men and 40% for women between 1980 and 1993.4

In this issue Michalsen and colleagues5 present the results of a study about preventable factors leading to hospitalisation in patients with decompensated heart failure. Non-compliance with prescribed medication and diet led to 42% of the admissions, while 12% were the result of inadequate medical treatment. In another study,6 Vinson et al stated that up to 50% of the readmissions could have been prevented; the preventable factors were non-compliance . . . [Full text of this article]
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This article has been cited by other articles:

  • Stromberg, A., Martensson, J., Fridlund, B., Levin, L-A, Karlsson, J.-E., Dahlstrom, U. (2003). Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure: Results from a prospective, randomised trial. Eur Heart J 24: 1014-1023 [Abstract] [Full Text]  
  • Wright, S.P., Walsh, H., Ingley, K.M., Muncaster, S.A., Gamble, G.D., Pearl, A., Whalley, G.A., Sharpe, N., Doughty, R.N. (2003). Uptake of self-management strategies in a heart failure management programme. Eur J Heart Fail 5: 371-380 [Abstract] [Full Text]  
  • Stewart, S., Blue, L., Walker, A., Morrison, C., Mcmurray, J.J.V. (2002). An economic analysis of specialist heart failure nurse management in the U.K. Can we afford not to implement it?. Eur Heart J 23: 1369-1378 [Abstract] [Full Text]  
  • Stromberg, A., Martensson, J., Fridlund, B., Dahlstrom, U. (2001). Nurse-led heart failure clinics in Sweden. Eur J Heart Fail 3: 139-144 [Abstract] [Full Text]  
  • BROADLEY, A. J M, MARSHALL, A. J (1999). Self administration of metolazone reduces readmissions with decompensated congestive cardiac failure. Heart 82: 397a-397 [Full Text]  

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