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Evid Based Nurs 5:55 doi:10.1136/ebn.5.2.55
  • Treatment

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


 
 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 and data analysts}*, controlled trial with follow up at 1 year.

Setting

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

Patients

165 patients 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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