Cost-effective management of heart failure

被引：35

作者：

Parmley, WW ^{[1
]}

机构：

[1] UNIV CALIF SAN FRANCISCO,DEPT MED,DIV CARDIOL,SAN FRANCISCO,CA 94143

来源：

CLINICAL CARDIOLOGY | 1996年 / 19卷 / 03期

关键词：

heart failure; cost; hospitalization; angiotensin converting enzyme inhibitor;

D O I：

10.1002/clc.4960190319

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Heart failure affects more than 2 million Americans, and about 400,000 new cases are diagnosed each year. The direct economic cost is over $10 billion/year. About 75% of this cost is spent on hospitalization, and almost 20% on nursing home care. Drugs such as angiotensin-converting enzyme (ACE) inhibitors reduce mortality and hospitalization and are thus very cost effective in the management of heart failure. Cost-effective strategies should focus on keeping patients out of the hospital. Additional savings can be obtained by more appropriate utilization of tests.

引用

页码：240 / 242

页数：3

共 13 条

[1] EFFECT OF VASODILATOR THERAPY ON MORTALITY IN CHRONIC CONGESTIVE-HEART-FAILURE - RESULTS OF A VETERANS-ADMINISTRATION COOPERATIVE STUDY [J].

COHN, JN ;

ARCHIBALD, DG ;

ZIESCHE, S ;

FRANCIOSA, JA ;

HARSTON, WE ;

TRISTANI, FE ;

DUNKMAN, WB ;

JACOBS, W ;

FRANCIS, GS ;

FLOHR, KH ;

GOLDMAN, S ;

COBB, FR ;

SHAH, PM ;

SAUNDERS, R ;

FLETCHER, RD ;

LOEB, HS ;

HUGHES, VC ;

BAKER, B .

NEW ENGLAND JOURNAL OF MEDICINE, 1986, 314 (24) :1547-1552

[2] PHYSICIAN UTILIZATION OF LABORATORY PROCEDURES TO MONITOR OUTPATIENTS WITH CONGESTIVE HEART-FAILURE [J].

FLEG, JL ;

HINTON, PC ;

LAKATTA, EG ;

MARCUS, FI ;

SMITH, TW ;

STRAUSS, HC ;

HLATKY, MA .

ARCHIVES OF INTERNAL MEDICINE, 1989, 149 (02) :393-396

[3]

GARG R, 1995, JAMA-J AM MED ASSOC, V273, P14501

[4]

Levit K R, 1991, Health Care Financ Rev, V13, P29

[5] EFFECT OF ORAL MILRINONE ON MORTALITY IN SEVERE CHRONIC HEART-FAILURE [J].

PACKER, M ;

CARVER, JR ;

RODEHEFFER, RJ ;

IVANHOE, RJ ;

DIBIANCO, R ;

ZELDIS, SM ;

HENDRIX, GH ;

BOMMER, WJ ;

ELKAYAM, U ;

KUKIN, ML ;

MALLIS, GI ;

SOLLANO, JA ;

SHANNON, J ;

TANDON, PK ;

DEMETS, DL .

NEW ENGLAND JOURNAL OF MEDICINE, 1991, 325 (21) :1468-1475

[6]

THOM T, 1993, COMMUNICATION 0412

[7] TREATMENT OF CONGESTIVE HEART-FAILURE - DIGITALIS GLYCOSIDES ARE STILL PRIMARY MODE OF THERAPY [J].

TOBIN, JR .

ARCHIVES OF INTERNAL MEDICINE, 1978, 138 (03) :453-454

[8]

1987, NEW ENGL J MED, V316, P1429

[9]

1985, 901764 DHHS PHS

[10]

1992, 921771 DHHS PHS

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