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• W4313443758 abstract "Congestive heart failure (CHF) is associated with prolonged and recurrent hospitalizations and the prognosis remains poor. Since 2013, the Caisse Nationale d’Assurance Maladie (CNAM) has set up a support program, PRADO-IC (support program for returning home after hospitalization for heart failure). The aim of this study was to evaluate the impact of PRADO-IC on the heart failure (HF) readmission rate and death rate after one year. All patients hospitalized for HF at Saint-Joseph Hospital were included in an observational study from September 2016 to September 2018. Inclusion in the PRADO-IC program was at the physician's discretion. Two groups were compared according to their inclusion in PRADO-IC or not (control group (C)). The primary endpoints were the comparison of the one-year mortality and HF readmission rates between the two groups. In total, 633 patients were included, 262 in the PRADO-IC group and 371 in the C group. Patients in the PRADO-IC cohort more frequently presented with severity criteria (age, weight, BNP level, arrhythmia, anemia, renal failure). One-year mortality (19.5% vs. 16.2%, P = 0.28) was equivalent between the two groups (Fig. 1). There were no significant differences in the one-year re-hospitalization rate for HF (35.1% in the PRADO cohort vs. 28% in the C group, P = 0.06) (Fig. 2), the time to first hospitalization (74.5 days in the PRADO cohort vs. 54.5 days in the C group, P = 0.55), or the length of hospitalization (6.0 days in the PRADO cohort vs. 7.0 days in the C group, P = 0.29) between the two groups. Age, hyponatremia, anemia, cancer, and HF re-hospitalization were associated with a risk of mortality in multivariate analysis. Our study shows that the PRADO-IC program concerned the most severe patients. Despite this fact, the one-year mortality and HF readmission rate were similar between the two groups." @default.
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• W4313443758 date "2023-01-01" @default.
• W4313443758 modified "2023-09-26" @default.
• W4313443758 title "Impact of home return assistance program (PRADO-IC) on re hospitalisation rate and mortality of hospitalized heart failure patients at one year" @default.
• W4313443758 doi "https://doi.org/10.1016/j.acvdsp.2022.10.063" @default.
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