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Philippe Abassade1, Laetitia Fleury2, Michel Marty2

  • 1Service de Cardiologie Groupe Hospitalier Paris Saint Joseph 185 rue Raymond Losserand 75014 Paris.

Annales De Cardiologie Et D'Angeiologie
|September 14, 2021
PubMed
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Congestive heart failure (CHF) patients admitted to Saint Joseph Hospital (HSJ) were older and had lower mortality and readmission rates compared to the Ile-de-France (IdF) region. This suggests better patient outcomes potentially due to enhanced care transitions and support programs.

Area of Science:

  • Cardiology
  • Public Health
  • Healthcare Management

Background:

  • Congestive heart failure (CHF) is a major cause of prolonged hospitalizations with a poor prognosis.
  • Understanding epidemiological data is crucial for improving CHF patient outcomes.

Purpose of the Study:

  • To collect and analyze epidemiological data of CHF patients admitted to Saint Joseph Hospital (HSJ) between 2017-2019.
  • To compare HSJ patient data with regional data from Ile-de-France (IdF).

Main Methods:

  • Retrospective analysis of 1967 CHF in-hospital stays at HSJ (2017-2019).
  • Comparison with 60973 CHF in-hospital stays from the IdF regional database.
  • Data included patient demographics, length of stay, mortality, and readmission rates.
Keywords:
insuffisance cardiaqueépidémiologie

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Main Results:

  • HSJ patients were older (81.4 vs 80.4 years) but had shorter lengths of stay (8.6 vs 11.3 days).
  • HSJ showed lower in-hospital (5.3% vs 7.8%) and 6-month mortality (15.9% vs 21.3%).
  • Readmission rates were lower in HSJ (23.7%) with higher home discharge rates (66.9%) and participation in the PRADO-IC program (22.6% vs 8.8%).

Conclusions:

  • CHF admissions involve elderly patients with significant mortality and early readmission risks.
  • Observed differences between HSJ and IdF populations may stem from variations in healthcare facilities, management, and care transition organization.
  • Higher engagement in the PRADO-IC program at HSJ may contribute to improved patient outcomes.