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Evid Based Nurs 9:55 doi:10.1136/ebn.9.2.55
  • Treatment

A telephone intervention reduced combined all cause mortality or admission for worsening heart failure in chronic heart failure


 
 Q In patients with chronic heart failure (HF), does a centralised telephone intervention by nurses reduce combined all cause mortality or admission for worsening HF?

METHODS

GraphicDesign:

randomised controlled trial (DIAL study).

GraphicAllocation:

concealed.

GraphicBlinding:

blinded (outcome adjudicators).

GraphicFollow up period:

mean 16 months.

GraphicSetting:

51 centres (public and private hospitals and ambulatory settings) in Argentina.

GraphicPatients:

1518 outpatients (mean age 65 y, 71% men) ⩾18 years of age, who had stable HF diagnosed ⩾3 months previously, no admissions in the past 2 months, and drug treatment that was not modified for ⩾2 months. Exclusion criteria included need for >1 medical visit per month; HF related to diseases other than ischaemic heart disease; reversible cardiomyopathy; recent myocardial infarction, unstable angina, cardiac surgery or angioplasty, or stroke; planned cardiac surgery; symptomatic rhythm abnormalities; expected survival <1 year; pregnancy; severe disability; or history …

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