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Abstract 9811: Medical Resource Use, Costs and Quality of Life are Similar Between Patients with Acute Decompensated Heart Failure Treated with Nesiritide Versus Placebo

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Introduction: In the recent Acute Study of Clinical Effectiveness of Nesiritide in Decompensated Heart Failure Trial (ASCEND-HF), treatment with nesiritide did not reduce heart failure rehospitalization or mortality at 30 days relative to treatment with placebo. Dyspnea was marginally improved with nesiritide, but did not reach pre-specified levels for statistical significance. Our study reports on a prospective economic and quality of life evaluation that was conducted as part of the trial. Objective: Compare medical resource use, costs and quality of life outcomes between patients randomized to nesiritide versus placebo in the ASCEND-HF. Methods: Detailed resource use data, including data on length of stay and readmissions within 30 days were collected on the case report form. Quality of life was assessed using the EQ-5D, administered at baseline, 24 hours, discharge, and 30 days. Hospital billing data representing 1253 admissions for US patients were used to develop a cost predictio

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Introduction: In the recent Acute Study of Clinical Effectiveness of Nesiritide in Decompensated Heart Failure Trial (ASCEND-HF), treatment with nesiritide did not reduce heart failure rehospitalization or mortality at 30 days relative to treatment with placebo. Dyspnea was marginally improved with nesiritide, but did not reach pre-specified levels for statistical significance. Our study reports on a prospective economic and quality of life evaluation that was conducted as part of the trial. Objective: Compare medical resource use, costs and quality of life outcomes between patients randomized to nesiritide versus placebo in the ASCEND-HF. Methods: Detailed resource use data, including data on length of stay and readmissions within 30 days were collected on the case report form. Quality of life was assessed using the EQ-5D, administered at baseline, 24 hours, discharge, and 30 days. Hospital billing data representing 1253 admissions for US patients were used to develop a cost predictio

Keywords

NesiritideMedicineHeart failureAcute decompensated heart failurePlaceboIntensive care medicineQuality of life (healthcare)Cardiology

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