Assessment of the Clinical Outcomes and Cost-effectiveness of the Management of Systolic Heart Failure in Chinese Patients Using a Home-based Intervention

被引：24

作者：

Chen, Y-H ^{[1
]}

Ho, Y-L ^{[1
]}

Huang, H-C ^{[1
]}

Wu, H-W ^{[2
]}

Lee, C-Y ^{[2
]}

Hsu, T-P ^{[2
]}

Cheng, C-L ^{[1
]}

Chen, M-F ^{[1
]}

机构：

[1] Natl Taiwan Univ Hosp, Dept Internal Med, Div Cardiol, Taipei 100, Taiwan

[2] Natl Taiwan Univ Hosp, Dept Nursing, Taipei, Taiwan

来源：

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2010年 / 38卷 / 01期

关键词：

HEART FAILURE; CHINESE PATIENTS; DISEASE MANAGEMENT; SPECIALIST-LED TELEPHONE CONSULTATION; HOME-BASED MEDICAL INTERVENTION; HOSPITALIZATION; COSTS; RANDOMIZED CONTROLLED-TRIAL; DISEASE MANAGEMENT; ETHNIC-DIFFERENCES; ELDERLY-PATIENTS; ASIAN PATIENTS; PROGRAM; MULTIDISCIPLINARY; GUIDELINES; PROGNOSIS; ADHERENCE;

D O I：

10.1177/147323001003800129

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

This study was designed to assess the clinical effect of a home-based telephone intervention in Chinese heart failure patients. A total of 550 Chinese heart failure patients were enrolled into either (i) a group that received the usual standard of care (UC group); or (ii) a group that received a home-based heart failure centre management programme using nursing specialist-led telephone consultations (HFC group). The impact of the home-based intervention on admission rate, admission length and medical costs over 6 months was measured. Although the mean left ventricular ejection fraction in HFC patients was 29.3% compared with 34.8% in UC patients, the home-based intervention resulted in a significantly lower all-cause admission rate per person (HFC 0.60 +/- 0.77 times/person; UC 0.96 +/- 0.85 times/person), a shorter all-cause hospital stay (reduced by 8 days per person) and lower total 6-month medical costs (reduced by US$2682 per patient). These results suggest that the home-based intervention with nursing specialist-led telephone consultations may improve the clinical outcome and provide cost-savings for Chinese patients with heart failure.

引用

页码：242 / 252

页数：11

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