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This retrospective cohort study showed that, despite improved inhospital mortality, early and long-term outcomes remained poor in patients discharged with heart failure. This article highlights the need to develop improved comprehensive care at discharge
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Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med 2009; 360:1418- 1428. This study showed that rehospitalizations among Medicare beneficiaries are prevalent and costly. It also brings to attention that many patients who require readmission at 30 days after discharge have poor follow-up.
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Hernandez AF, Hammill BG, O'Connor CM, et al. Clinical effectiveness of beta-blockers in heart failure: findings from the OPTIMIZE-HF (Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients with Heart Failure) Registry. J Am Coll Cardiol 2009; 53:184-192. This study of a large contemporary heart failure registry highlights the risk of hospital admissions in regards to mortality and rehospitalizations, as well as the benefits conferred by β-blockers.
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Hunt SA, Abraham WT, Chin MH, et al. 2009 focused update incorporated into the ACC/AHA 2005 Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines - developed in collaboration with the International Society for Heart and Lung Transplantation. Circulation 2009; 119:e391-e479.
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Morrison RS, Penrod JD, Cassel JB, et al. Cost savings associated with US hospital palliative care consultation programs. Arch Intern Med 2008; 168:1783-1790. This is the most rigorous study to date showing that palliative care consultations result in reduced hospitalization costs. It adds to the current body of literature on the benefits palliative care services can have on outcomes such as healthcare utilization.
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