June 15, 2011

Improving Postdischarge Outcomes in Patients Hospitalized for Acute Heart Failure Syndromes

Author Affiliations

Author Affiliations: Center for Cardiovascular Innovation, Northwestern University Feinberg School of Medicine, Chicago, Illinois (Dr Gheorghiade); and Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina (Dr Peterson). Dr Peterson is also Contributing Editor, JAMA.

JAMA. 2011;305(23):2456-2457. doi:10.1001/jama.2011.836

Acute heart failure (HF) syndromes (AHFS) include a spectrum of new or established HF with symptoms that gradually or rapidly worsen as to require urgent intervention.1 In the United States, AHFS result in 1.1 million hospitalizations and consume $39 billion in health care spending annually.1 Although the majority of patients hospitalized for AHFS experience improvement in signs and symptoms of HF in response to available therapy, mortality and rehospitalization rates remain as high as 15% and 30%, respectively, within 60 to 90 days postdischarge.2 In this Commentary, we suggest in-hospital and postdischarge strategies aimed at reducing postdischarge events.

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