Heart Failure (HF) refers to a patient's heart is not being able to pump enough blood to meet the body's needs. It is a chronic and potentially debilitating illness. With a prevalence rate of 4.5% of the Singapore population1 and up to 23 million worldwide, HF has become a major individual and public health problem2.
The CGH HF programme began in 2006, focused on developing and implementing the latest evidence-based therapies and best practices in HF management to benefit our patients. The programme consists of inpatient and outpatient components, and has a dedicated multi-disciplinary treatment strategy consisting of a team of doctors, nurses, pharmacists, dieticians, and physical and occupational therapists focused on encouraging and facilitating the patient co-operation and patient education in order to achieve better clinical outcomes and patient satisfaction.
Clinical outcomes for patients on CGH's HF pathway program had been comparable to leading US centres. CGH HF patients' 30-day readmission rate was 25.2% in 2017, comparable to that of US centres (27.9%)3, while inpatient mortality rate was at 0.3%, compared to 3.3% in US centres4. Median length of stay for CGH HF patients was at 4 days, compared to 3.5 days in US centres4.
The comparative rates are tabulated below:
(Jan – Dec 2017)
Inpatient mortality (%)
Median Length of Stay
30 days all cause readmission (%)
1Lam, C. S. P. (2015). Heart failure in Southeast Asia: Facts and numbers. ESC Heart Failure, 2(2), 46–49.
2Roger, V. L. (2013). Epidemiology of heart failure. Circulation Research, 113(6), 646–659.
3Joynt, K. E., & Jha, A. K. (2010). Who has higher Readmission rates for heart failure, and why? Implications for efforts to improve care using financial incentives. Circulation: Cardiovascular Quality and Outcomes, 4(1), 53–59.
4Chen et al.. (2013). National Trends in Heart Failure Hospital Stay Rates, 2001 to 2009. Journal of the American College of Cardiology, 61(10), 1078-1088. Retrieved 14 October, 2016, from http://content.onlinejacc.org/article.aspx?articleid=1659749
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Changi General Hospital (CGH)