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Editor's Correspondence
December 9/23, 2002

The Impact of Hospitalists on Congestive Heart Failure

Arch Intern Med. 2002;162(22):2633. doi:

The study assessing the impact of hospitalists on congestive heart failure found little difference between the patients treated by hospitalists compared with those treated by nonhospitalists.1 Only 2 parameters were thought noteworthy, yet even those were minor. Also, 87% of patients vs 94% having a measurement of left ventricular function, a slightly longer length of stay for major heart failure (but the same or less for minor, moderate, and severe categories), and no difference in hospital costs hardly demonstrates an advantage. More efficient discharge planning might easily eliminate the reduced hospital stay sometimes attributed to hopitalist care.

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