PMID- 15519262
OWN - NLM
STAT- MEDLINE
DCOM- 20050302
LR  - 20071115
IS  - 1099-5129 (Print)
IS  - 1099-5129 (Linking)
VI  - 6
IP  - 6
DP  - 2004 Nov
TI  - Reduction in hospitalization rates following cardiac resynchronisation therapy in 
      cardiac failure: experience from a single centre.
PG  - 586-9
AB  - AIMS: Frequent, lengthy hospital admissions for congestive cardiac failure (CCF) 
      result in excessive health care costs. Cardiac resynchronisation therapy (CRT) is 
      a novel treatment option for patients with CCF and associated cardiac conduction 
      defects. We investigated whether CRT resulted in significant improvements in New 
      York Heart Association (NYHA) symptom class, exercise tolerance, and 
      hospitalization rates in such patients. METHODS: Twenty-seven patients who 
      underwent CRT in a single centre were studied, with NYHA symptom class, exercise 
      tolerance and hospitalization rates noted in the 12 months prior to and following 
      CRT. RESULTS: Following 12 months of CRT, NYHA symptom class improved from 3.3 
      +/- 0.5 to 2.1 +/- 0.4 (P < 0.05). Exercise tolerance, assessed by 6 min hall 
      walk test increased by 64% from 195 +/- 114 m to 320 +/- 85 m (P = 0.007). Days 
      in hospital for stabilisation of cardiac failure decreased by 98% from 472 to 9 
      days (P < 0.001). Significant hospitalization cost savings of 201,684 euros were 
      calculated, with an overall saving of 12,420 euros. CONCLUSIONS: These data 
      demonstrate that CRT results in significant improvement in clinical parameters, 
      and considerable reductions in hospital admissions, and costs in patients with 
      CCF.
FAU - Dixon, Lana J
AU  - Dixon LJ
AD  - Regional Cardiology Centre, Belfast City Hospital, Northern Ireland. 
      l.dixon@qub.ac.uk
FAU - Murtagh, J Gerry
AU  - Murtagh JG
FAU - Richardson, S Geoff
AU  - Richardson SG
FAU - Chew, Eng Wooi
AU  - Chew EW
LA  - eng
PT  - Journal Article
PL  - England
TA  - Europace
JT  - Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal 
      of the working groups on cardiac pacing, arrhythmias, and cardiac cellular 
      electrophysiology of the European Society of Cardiology
JID - 100883649
SB  - IM
MH  - Aged
MH  - *Cardiac Pacing, Artificial/economics
MH  - Female
MH  - Heart Failure/*therapy
MH  - Hospitalization/economics/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Northern Ireland
MH  - Pacemaker, Artificial/economics
MH  - Patient Readmission/economics/statistics & numerical data
EDAT- 2004/11/03 09:00
MHDA- 2005/03/03 09:00
CRDT- 2004/11/03 09:00
PHST- 2004/02/12 00:00 [received]
PHST- 2004/08/02 00:00 [accepted]
PHST- 2004/11/03 09:00 [pubmed]
PHST- 2005/03/03 09:00 [medline]
PHST- 2004/11/03 09:00 [entrez]
AID - S1099-5129(04)00225-9 [pii]
AID - 10.1016/j.eupc.2004.08.006 [doi]
PST - ppublish
SO  - Europace. 2004 Nov;6(6):586-9. doi: 10.1016/j.eupc.2004.08.006.