Background: The Philippine Heart Center (PHC), in an effort to reduce mortality and re-hospitalization rates and improve quality of life of patients with heart failure, established the PHC Heart Failure (HF) Clinic Program. The aim of this paper is to prospectively evaluate the effectiveness of the Philippine Heart Center Heart Failure Clinic Program in reducing mortality and re-hospitalization 12 months after discharge.
Methods: This was a prospective cohort study. Subjects were divided into two groups: those who were enrolled with the HFClinic Program and those who received conventional follow up. Data on the number of read missions, hospital days and time to readmission were prospectively collected from the medical charts. Data were collected at baseline, after 3 and 12 months.
Results: There were 150 patients included in the study, 64 of whom were enrolled in the heart failure clinic while 86 patients received conventional care. There was a higher mortality in the non-heart failure clinic group compared to those who were enrolled in the program. More patients in the non-HF clinic group were re-admitted within 3 and 12 months after inclusion compared to those who were enrolled in the program. Likewise, patients in the non-HF clinic group stayed longer in the hospital compared to those who were enrolled in the program.
Conclusion: The Philippine Heart Center Heart (PHC) Heart Failure (HF) Clinic is effective in reducing mortality and re-hospitalization 3 and 12 after inclusion.