International Journal of Cardiology
Volume 154, Issue 3 , Pages 246-249 , 9 February 2012

Ultrafiltration for acute decompensated heart failure: Financial implications

  • Amir Kazory

      Affiliations

    • Division of Nephrology, Hypertension, and Renal Transplantation, University of Florida, Gainesville, FL, USA
    • Corresponding Author InformationCorresponding author at: Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, 1600 SW Archer Road, Gainesville, FL 32610–0224, USA. Tel.: +1 352 392 4007; fax: +1 352 392 3581.
    • ,
  • Frank B. Bellamy

      Affiliations

    • Department of Utilization Management, Shands at the University of Florida, Gainesville, FL, USA
    • ,
  • Edward A. Ross

      Affiliations

    • Division of Nephrology, Hypertension, and Renal Transplantation, University of Florida, Gainesville, FL, USA

Received 12 November 2010 ,Revised 1 April 2011 ,Accepted 13 May 2011.

References 

  1. Alla F, Zannad F, Filippatos G. Epidemiology of acute heart failure syndromes. Heart Fail Rev. 2007;12:91–95
  2. Gheorghiade M, Filippatos G. Reassessing treatment of acute heart failure syndromes: the ADHERE Registry. Eur Heart J. 2005;7(suppl B):B13–B19
  3. Agostoni PG, Marenzi GC. Sustained benefit from ultrafiltration in moderate congestive heart failure. Cardiology. 2001;96:183–189
  4. Libetta C, Sepe V, Zucchi M, et al. Intermittent haemodiafiltration in refractory congestive heart failure: BNP and balance of inflammatory cytokines. Nephrol Dial Transplant. 2007;22:2013–2019
  5. Dahle TG, Blake D, Ali SS, Olinger CC, Bunte MC, Boyle AJ. Large volume ultrafiltration for acute decompensated heart failure using standard peripheral intravenous catheters. J Card Fail. 2006;12:349–352
  6. Marenzi G, Agostoni P. Hemofiltration in heart failure. Int J Artif Organs. 2004;27:1070–1076
  7. Kalantar-Zadeh K, Block G, Horwich T, Fonarow GC. Reverse epidemiology of conventional cardiovascular risk factors in patients with chronic heart failure. J Am Coll Cardiol. 2004;43:1439–1444
  8. Costanzo MR, Saltzberg M, O'Sullivan J, Sobotka P. Early ultrafiltration in patients with decompensated heart failure and diuretic resistance. J Am Coll Cardiol. 2005;46:2047–2051
  9. Costanzo MR, Guglin ME, Saltzberg MT, et al. UNLOAD Trial Investigators. Ultrafiltration versus intravenous diuretics for patients hospitalized for acute decompensated heart failure. J Am Coll Cardiol. 2007;49:675–683
  10. Cotter G, Metra M, Milo-Cotter O, Dittrich HC, Gheorghiade M. Fluid overload in acute heart failure—re-distribution and other mechanisms beyond fluid accumulation. Eur J Heart Fail. 2008;10:165–169
  11. Bartone C, Saghir S, Menon SG, et al. Comparison of ultrafiltration, nesiritide, and usual care in acute decompensated heart failure. Congest Heart Fail. 2008;14:298–301
  12. Kazory A, Ross EA. Contemporary trends in the pharmacologic and extracorporeal management of heart failure: a nephrologic perspective. Circulation. 2008;117:975–983
  13. Perencevich EN, Stone PW, Wright SB, Carmeli Y, Fisman DN. Society for Healthcare Epidemiology of America. Raising standards while watching the bottom line: making a business case for infection control. Infect Control Hosp Epidemiol. 2007;28:1121–1133
  14. Ross EA, Kazory A. Overcoming financial constraints of ultrafiltration for heart failure. Am J Cardiol. 2010;105:1504–1505
  15. Bradley SM, Levy WC, Veenstra DL. Cost-consequences of ultrafiltration for acute heart failure: a decision model analysis. Circ Cardiovasc Qual Outcomes. 2009;2:566–573
  16. Ross EA, Bellamy FB, Hawig S, Kazory A. Ultrafiltration for acute decompensated heart failure: Cost, reimbursement & financial impact. Clin Cardiol. 2011;34:273–277
  17. Shewan LG, Coats AJ. Ethics in the authorship and publishing of scientific articles. Int J Cardiol. 2010;144:1–2

☆ No specific financial support was obtained for the preparation of this article. The authors have no potential conflicts of interest to declare with respect to this paper.

PII: S0167-5273(11)00486-4

doi: 10.1016/j.ijcard.2011.05.073

International Journal of Cardiology
Volume 154, Issue 3 , Pages 246-249 , 9 February 2012

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