Article Text

Self administration of metolazone reduces readmissions with decompensated congestive cardiac failure
  1. ANDREW J M BROADLEY
  1. Department of Medicine, Derriford Hospital,
  2. Department of Cardiology
  3. South West Cardiothoracic Centre
  4. Derriford Hospital, Plymouth PL6 8DH, UK
    1. ANDREW J MARSHALL
    1. Department of Medicine, Derriford Hospital,
    2. Department of Cardiology
    3. South West Cardiothoracic Centre
    4. Derriford Hospital, Plymouth PL6 8DH, UK

      Statistics from Altmetric.com

      Editor,—Stromberg’s recent editorial highlighted the increasing prevalence of congestive cardiac failure (CCF) in the Western world and made the point that the cost of frequent hospital admissions with decompensated CCF consumes a large and growing proportion of health service budgets.1 Several studies have demonstrated the effectiveness of various complex interventions in reducing the number of admissions with decompensated CCF compared to usual care—for example, through the use of nurse practitioners specialising in heart failure and dedicated heart failure clinics.2-4 As well as reducing the morbidity associated with CCF—an important goal in itself—such interventions have the potential to reduce total costs, but only where the cost of the intervention is less than the saving produced. At least one study in the …

      View Full Text

      Request Permissions

      If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.