Heart failure is the leading cause of hospitalizations and readmissions in the United States
and is a tremendous economic strain on our healthcare system. There is currently, based on
national averages, a 30% readmission rate and 10% mortality rate within 3 months of being
hospitalized for heart failure. Retrospective studies have shown benefit to using biomarkers
such as BNP to guide inpatient heart failure management. Our own CCF retrospective study
showed that decreasing NT-ProBNP by 23%, making patients fluid negative by more than 1.3L,
and discharging patients with serum sodium above 135 reduces readmission rates significantly.
The purpose of this study is to prospectively use the above mentioned goals in the treatment
of heart failure in order to reduce heart failure readmission and mortality rates.