Blue, L. et al. (2001) Randomised controlled trial of specialist nurse intervention in heart failure. British Medical Journal, 323, pp. 715-718. (doi: 10.1136/bmj.323.7315.715)
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BMJBlue2001.pdf 234kB |
Abstract
<p>Objectives. To determine whether specialist nurse intervention improves outcome in patients with chronic heart failure.</p> <p>Design. Randomised controlled trial.</p> <p>Setting. Acute medical admissions unit in a teaching hospital.</p> <p>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.</p> <p>Main outcome measures. Time to first event analysis of death from all causes or readmission to hospital with worsening heart failure.</p> <p>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).</p> <p>Conclusions. Specially trained nurses can improve the outcome of patients admitted to hospital with heart failure.</p>
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Norrie, Prof John and Connolly, Dr Eugene and McDonagh, Dr Theresa and Murdoch, Dr David and Ford, Professor Ian and Petrie, Professor Mark and McMurray, Professor John |
Authors: | Blue, L., Lang, E., McMurray, J.J.V., Davie, A.P., McDonagh, T.A., Murdoch, D.R., Petrie, M.C., Connolly, E., Norrie, J., Round, C.E., Ford, I., and Morrison, C. |
Subjects: | R Medicine > RC Internal medicine R Medicine > RT Nursing |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Robertson Centre College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health |
Journal Name: | British Medical Journal |
Journal Abbr.: | BMJ |
Publisher: | BMJ Publishing Group |
ISSN: | 0959-535X |
ISSN (Online): | 1756-1833 |
Copyright Holders: | ©BMJ Publishing Group |
First Published: | First published in the BMJ 323:715–718 |
Publisher Policy: | Reproduced in accordance with the copyright policy of the publisher |
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