Evid Based Nurs 12:59 doi:10.1136/ebn.12.2.59
  • Economics

Nurse-led heart failure management improved quality of life and was cost-effective

P L Hebert

Dr P L Hebert, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA;


Is nurse-led heart failure management cost-effective?



cost-effectiveness analysis of a randomised, assessor-blinded, controlled trial with 1-year follow-up.


4 hospitals in Harlem, New York, USA.


406 community-dwelling adults (mean age 59 y, 54% men) with heart failure. 46% were non-Hispanic black, 33% were Hispanic, and 15% were non-Hispanic white. Follow-up was 81%.


nurse-led heart failure management (n = 203) or usual care (n = 203). The intervention consisted of 1 in-person visit and periodic telephone calls to educate patients about heart failure and encourage adherence to medications and a low-salt diet, and co-ordination with patients’ physicians to optimise heart failure medications.


quality-adjusted life-years (QALYs) calculated from quality-of-life scores on the Health Utility Index Mark 3 (HUI3) …

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article