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Am J Cardiol. 1998 Sep 1;82(5):686-8, A8.

Impact of a nurse practitioner on the cost of managing inpatients with heart failure.

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Division of Cardiology and the School of Nursing, Vanderbilt University Medical Center, Nashville, Tennessee, USA.


We examined the impact on hospital costs of having a nurse practitioner manage uncomplicated patients hospitalized for decompensated heart failure. This strategy was associated with a significant decrease in total hospital costs ($6,659+/-5,843 vs $5,211+/-4,137 [p < 0.03]), a trend toward decreased length of stay (4.0+/-3.0 vs 3.4+/-2.4 days [p = 0.13]), and no significant change in the 30-day readmission rate (13% of patients vs 16% of patients [p = NS]).

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