Featured Research

from universities, journals, and other organizations

Short-term Survival Rates Better For U.S. vs. Canadian Heart Failure Patients

Date:
November 29, 2005
Source:
Yale University
Summary:
Investigators at Yale School of Medicine and the Institute for Clinical Evaluative Sciences, Ontario, Canada, report that elderly heart failure patients hospitalized in the United States have better short-term survival than those in Canada, but lose that advantage over time.

Investigators at Yale School of Medicine and the Institute for Clinical Evaluative Sciences, Ontario, Canada, report that elderly heart failure patients hospitalized in the United States have better short-term survival than those in Canada, but lose that advantage over time.

Published in the November 28 issue of Archives of Internal Medicine, the study compared the patterns of care and outcomes of 28,521 Medicare patients with 8,180 similarly aged patients hospitalized in Canada. Compared to Canadian patients, those in the U.S. had almost a 20 percent lower risk of dying within 30 days of being hospitalized for heart failure, but by one year there was virtually no difference in the survival rates.

"Despite being based on the same medical literature, the health care systems in the United States and Canada have very different results with respect to patients with heart failure," said principal investigator Harlan M. Krumholz, M.D., professor of medicine at Yale and director of Yale-New Haven Hospital Center for Outcomes Research and Evaluation. "The findings raise questions about whether the American system is poised to provide better acute care, whereas the Canadian system is better positioned to provide chronic care."

Dennis Ko, M.D., lead author of the article and assistant professor, University of Toronto, said there are several potential explanations for our results. "The Canadian system has a greater emphasis on primary care and all patients have health insurance, including a drug benefit. It is possible that our approach leads to better patient follow-up and fewer financial barriers to care."

The study also showed that patients hospitalized in the United States were more likely to undergo tests and procedures, but just as likely to receive medications.

"Both systems can likely improve, but the American system may want to focus attention on outpatient care whereas the Canadian system may want to examine their inpatient care more closely," said Krumholz. "There is no reason for the different outcomes among patients in the United States and Canada except that they receive care in systems that are organized differently," We can take advantage of this natural experiment to learn how best to configure an optimal health care delivery system that puts our patients in the best position to do well in the short and long run."

###

Other authors on the study included Jack V. Tu, M.D., Frederick A. Masoudi, M.D., Yongfei Wang, Edward P. Havraneck, M.D., Saif S. Rathore, Alice M. Newman, Linda R. Donovan, Douglas S. Lee, M.D., and JoAnne M. Foody, M.D.

Citation: Archives of Internal Medicine, Vol. 165, 2486-2492 (November 28, 2005).


Story Source:

The above story is based on materials provided by Yale University. Note: Materials may be edited for content and length.


Cite This Page:

Yale University. "Short-term Survival Rates Better For U.S. vs. Canadian Heart Failure Patients." ScienceDaily. ScienceDaily, 29 November 2005. <www.sciencedaily.com/releases/2005/11/051128192726.htm>.
Yale University. (2005, November 29). Short-term Survival Rates Better For U.S. vs. Canadian Heart Failure Patients. ScienceDaily. Retrieved September 18, 2014 from www.sciencedaily.com/releases/2005/11/051128192726.htm
Yale University. "Short-term Survival Rates Better For U.S. vs. Canadian Heart Failure Patients." ScienceDaily. www.sciencedaily.com/releases/2005/11/051128192726.htm (accessed September 18, 2014).

Share This



More Health & Medicine News

Thursday, September 18, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

The Cost of Ebola

The Cost of Ebola

Reuters - Business Video Online (Sep. 18, 2014) As Sierra Leone prepares for a three-day "lockdown" in its latest bid to stem the spread of Ebola, Ciara Lee looks at the financial implications of fighting the largest ever outbreak of the disease. Video provided by Reuters
Powered by NewsLook.com
What HealthKit Bug Means For Your iOS Fitness Apps

What HealthKit Bug Means For Your iOS Fitness Apps

Newsy (Sep. 18, 2014) Apple has delayed the launch of the HealthKit app platform, citing a bug. Video provided by Newsy
Powered by NewsLook.com
Residents Vaccinated as Haiti Fights Cholera Epidemic

Residents Vaccinated as Haiti Fights Cholera Epidemic

AFP (Sep. 18, 2014) Haitians receive the second dose of the vaccine against cholera as part of the UN's vaccination campaign. Duration: 00:34 Video provided by AFP
Powered by NewsLook.com
Raw: Elephant Undergoes Surgery in Tbilisi Zoo

Raw: Elephant Undergoes Surgery in Tbilisi Zoo

AP (Sep. 18, 2014) Grand the elephant has successfully undergone surgery to remove a portion of infected tusk at Tbilisi Zoo in Georgia. British veterinary surgeons used an electric drill to extract the infected piece. (Sept. 18) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins