Outcomes of Acute Exacerbation of Severe Congestive Heart FailureQuality of Life, Resource Use, and Survival

Abstract
CONGESTIVE HEART failure (CHF) is a common disease in the United States, with a prevalence of 7.4 per 1000 men and 4.7 per 1000 women (age-adjusted to the US 1991 population).1 In aggregate, there are an estimated 1 to 2 million adults with CHF at any time in this country,2 and the prevalence is on the rise.3 Hospitalization rates for CHF also have been increasing.3 Despite the high cost of health care for patients with CHF, survival rates are poor. Knowledge of the health-related quality of life (HRQL) outcomes of severe CHF may guide decision making and be useful in assessment of new therapies for this population.