Randomised controlled trial of specialist nurse intervention in heart failure

L. Blue, John David Norrie

    Research output: Contribution to journalArticle

    380 Citations (Scopus)

    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.

    Original languageEnglish
    Pages (from-to)715-718
    Number of pages3
    JournalBritish Medical Journal
    Volume323
    DOIs
    Publication statusPublished - 2001

    Keywords

    • MULTIDISCIPLINARY INTERVENTION
    • HOSPITALIZATION

    Cite this

    Randomised controlled trial of specialist nurse intervention in heart failure. / Blue, L.; Norrie, John David.

    In: British Medical Journal, Vol. 323, 2001, p. 715-718.

    Research output: Contribution to journalArticle

    Blue, L. ; Norrie, John David. / Randomised controlled trial of specialist nurse intervention in heart failure. In: British Medical Journal. 2001 ; Vol. 323. pp. 715-718.
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