Randomised controlled trial of specialist nurse intervention in heart failure

L. Blue, John David Norrie

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    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.

    Original languageEnglish
    Pages (from-to)715-718
    Number of pages3
    JournalBritish Medical Journal
    Publication statusPublished - 2001



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