The cost of inpatient management of heart failure patients: a microcosting study in the Irish healthcare setting

2016 ◽  
Vol 186 (2) ◽  
pp. 293-303 ◽  
Author(s):  
R. B. Morgan ◽  
L. McCullagh ◽  
M. Barry ◽  
C. Daly
Keyword(s):  
Heart Failure ◽  
Healthcare Setting ◽  
Heart Failure Patients ◽  
Inpatient Management ◽  
The Cost

COST-EFFECTIVENESS OF TELEHEALTH INTERVENTIONS FOR CHRONIC HEART FAILURE PATIENTS: A LITERATURE REVIEW

2014 ◽  
Vol 30 (1) ◽  
pp. 59-68 ◽  
Author(s):  
Andrija S. Grustam ◽  
Johan L. Severens ◽  
Jan van Nijnatten ◽  
Ron Koymans ◽  
Hubertus J. M. Vrijhoef
Keyword(s):  
Heart Failure ◽  
Economic Evaluation ◽  
Cost Effectiveness ◽  
Chronic Heart Failure ◽  
Data Extraction ◽  
Primary Study ◽  
Heart Failure Patients ◽  
Telehealth Intervention ◽  
The Cost

Objectives: Evidence exists that telehealth interventions (e.g., telemonitoring, telediagnostics, telephone care) in disease management for chronic heart failure patients can improve medical outcomes, and we aim to give an overview of the cost-effectiveness of these interventions.Methods: Based on the literature search on “heart failure” in combination with “cost” and “telehealth” we selected 301 titles and abstracts. Titles and abstracts were screened for a set of inclusion criteria: telehealth intervention, heart failure as the main disease, economic analysis present and a primary study performed. In the end, thirty-two studies were included for full reading, data extraction, and critical appraisal of the economic evaluation.Results: Most studies did not present a comprehensive economic evaluation, consisting of the comparison of both costs and effects between telehealth intervention and a comparator. Data on telehealth investment costs were lacking in many studies. The few studies that assessed costs and consequences comprehensively showed that telehealth interventions are cost saving with slight improvement in effectiveness, or comparably effective with similar cost to usual care. However, the methodological quality of the studies was in general considered to be low.Conclusions: The cost-effectiveness of telehealth in chronic heart failure is hardly ascertained in peer reviewed literature, the quality of evidence is poor and there was a difficulty in capturing all of the consequences/effects of telehealth intervention. We believe that without full economic analyses the cost-effectiveness of telehealth interventions in chronic heart failure remains unknown.

scholarly journals Diuretic lounge and the impact on hospital admissions for treatment of decompensated heart failure

QJM ◽  
2020 ◽  
Vol 113 (9) ◽  
pp. 651-656 ◽  
Author(s):  
A Ioannou ◽  
T Browne ◽  
S Jordan ◽  
S Metaxa ◽  
A K J Mandal ◽  
...  
Keyword(s):  
Heart Failure ◽  
Hospital Admissions ◽  
Cost Effective ◽  
Decompensated Heart Failure ◽  
Acute Hospital ◽  
Readmission Rates ◽  
Emergency Admissions ◽  
Heart Failure Patients ◽  
The Cost ◽  
The Impact

Abstract Background Heart failure is a prevalent condition associated with frequent and costly hospital admissions. Hospitalizations are primarily related to worsening fluid retention and often require admission for decongestion with intravenous diuretics. Objective To assess the safety of an outpatient intravenous diuresis service for heart failure patients, and its impact on emergency admissions and the cost of treatment. Methods We conducted a prospective observational cohort registry study on patients referred to the diuretic lounge at our acute hospital between May 2017 and April 2018. Results We analysed 245 patients treated in the diuretic lounge, of which 190 (77.6%) avoided hospitalization or any adverse events during the 60 days of follow up (77.6% vs. 22.4%; P < 0.001). The diuretic lounge service resulted in a significant decrease in emergency heart failure admissions compared to the previous 12 months (823 vs. 715 per annum; 68.6 ± 10.1 vs. 59.6 ± 14 per month; P = 0.04), and a numerical reduction in readmission rates (17.3% vs. 16.2%). The 13.1% decrease in admissions lead to financial savings of £315 497 per annum and £2921 per admission avoided. During the same time period, at the other acute hospital site in our trust, where no diuretic lounge service is available, the number of admissions did not significantly change (457 vs. 450 per annum; 37.5 ± 7.0 vs. 38.1 ± 7.6 per month; P = 0.81). Conclusion Ambulatory administration of intravenous diuretics reduces emergency admissions and is a safe and cost-effective alternative to treat acute decomposition in heart failure patients.

A Cost-Saving Strategy for Inpatient Management of Advanced Decompensated Heart Failure Patients: The Cardiomyopathy Unit

2009 ◽  
Vol 15 (5) ◽  
pp. 428-434 ◽  
Author(s):  
Douglas Gregory ◽  
Linda J. Ordway ◽  
Mark McGillivray ◽  
Marvin A. Konstam ◽  
David Denofrio
Keyword(s):  
Heart Failure ◽  
Cost Saving ◽  
Decompensated Heart Failure ◽  
Heart Failure Patients ◽  
Inpatient Management
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