Format

Send to

Choose Destination
See comment in PubMed Commons below
Scand Cardiovasc J. 2005 Sep;39(4):199-205.

Effects of a nurse-based heart failure clinic on drug utilization and admissions in a community hospital setting.

Author information

1
Department of Medicine, Fredericia Hospital, Fredericia, Denmark.

Abstract

OBJECTIVE:

To evaluate the effect of a nurse-led heart failure clinic on drug therapy and hospitalization in a community hospital setting.

DESIGN:

Prospective, observational study of outpatients referred to a heart failure clinic. Nurses directed drug uptitration and delivered patient education. Utilization and doses of ACE inhibitors and beta-blockers were analyzed as were heart failure related admissions in the years before and after establishing the clinic.

RESULTS:

138 patients (median age 68.5 years) were enrolled. After three months 94% of patients were taking an ACE inhibitor and beta-blockade was prescribed for 91%. Mean ACE inhibitor dose relative to target dose after three months was 77+/-30% and mean beta-blocker dose was 53+/-31% of the target dose. Heart failure admissions decreased by 45% after the clinic was established.

CONCLUSIONS:

Community hospital based heart failure clinics may promote utilization of evidence based drug therapy and cause a substantial decrease in heart failure admissions, producing results comparable to those obtained in studies of university hospital based heart failure management programs.

PMID:
16118066
DOI:
10.1080/14017430510009186
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Taylor & Francis
    Loading ...
    Support Center