PURPOSE: To compare long-term outcomes of a comprehensive disease management and rehabilitation program (CDMR) vs. standard of care in both men and women diagnosed with class III-IV Congestive Heart Failure(CHF).
METHODS: This study compares four groups of patients followed for 48 months. Two groups were identified as Intervention: Group A (15 men average age: 59.9) and Group B (6 women average age 64.08) participated in a 12-week CDMR program and the two other groups identified as Control: Group C (36 men average age 61.3) and group D (12 women average age 62.2) returned to standard follow up care for CHF. Groups A and B participated in CDMR received an individualized program including use of medications, effective sodium balance and symptom identification. Rehab patients returned 3 times per week for 12 weeks. After CDMR program completion patients returned to care by referring physicians and monthly phone contact was made by CDMR program staff to monitor continued progress.
RESULTS: Note: * P value reported is baseline compared to 48 months. Hospitalizations = number of hospitalizations per year per patient, ED Visits = number of ED visits per patient per year.
CONCLUSION: Both genders participating in CDMR program demonstrated long-term improvement in medication adherence and smoking cessation. They also had significantly fewer CHF related Hospitalizations, ED visits and improved survival at 48 months compared to Controls.
CLINICAL IMPLICATIONS: Results from this study suggest that CDMR programs could reduce cost of medical management of patients with CHF.
DISCLOSURE: Linda Houston-Feenstra, No Financial Disclosure Information; No Product/Research Disclosure Information