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Therapeutics
A specialist nurse intervention reduced readmissions in patients admitted to hospital with chronic heart failure

https://doi.org/10.1136/ebm.7.3.83

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    (2001) BMJ 323, 715. Blue L, Lang E, McMurray JJ, et al.. Randomised controlled trial of specialist nurse intervention in heart failure.. Sep 29;. :. –8.
    OpenUrlAbstract/FREE Full Text

    
 
 QUESTION: Can a specialist nurse intervention reduce mortality and morbidity in patients admitted to hospital with chronic heart failure?

    Design

    Randomised (allocation concealed*), blinded {outcome assessors}†,* controlled trial with 1 year of follow up.

    Setting

    An acute medical admissions unit at a teaching hospital in Glasgow, Scotland, UK.

    Patients

    165 patients (mean age 75 y, 58% men) who were admitted on an emergency basis with heart failure caused by left ventricular systolic dysfunction. Exclusion criteria were inability to comply with the intervention, acute myocardial infarction, comorbidity likely to lead to death or readmission in the near future, planned discharge to long term residential care, or residence outside of the hospital catchment area. Follow up at 1 year was 95%.

    Intervention

    84 patients were allocated to usual care plus a specialist nurse intervention, which consisted of planned home visits of decreasing frequency …

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