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BMJ. 2001 Sep 29;323(7315):715-8.

Randomised controlled trial of specialist nurse intervention in heart failure.

Author information

  • 1Department of Cardiology, Western Infirmary, Dumbarton Road, Glasgow G12 6NT.

Abstract

OBJECTIVES:

To determine whether specialist nurse intervention improves outcome in patients with chronic heart failure.

DESIGN:

Randomised controlled trial.

SETTING:

Acute medical admissions unit in a teaching hospital.

PARTICIPANTS:

165 patients admitted with heart failure due to left ventricular systolic dysfunction. The intervention started before discharge and continued thereafter with home visits for up to 1 year.

MAIN OUTCOME MEASURES:

Time to first event analysis of death from all causes or readmission to hospital with worsening heart failure.

RESULTS:

31 patients (37%) in the intervention group died or were readmitted with heart failure compared with 45 (53%) in the usual care group (hazard ratio=0.61, 95% confidence interval 0.33 to 0.96). Compared with usual care, patients in the intervention group had fewer readmissions for any reason (86 v 114, P=0.018), fewer admissions for heart failure (19 v 45, P<0.001) and spent fewer days in hospital for heart failure (mean 3.43 v 7.46 days, P=0.0051).

CONCLUSIONS:

Specially trained nurses can improve the outcome of patients admitted to hospital with heart failure.

Comment in

PMID:
11576977
[PubMed - indexed for MEDLINE]
PMCID:
PMC56888
Free PMC Article
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