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

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

https://doi.org/10.1136/ebn.9.2.55

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    GESICA Investigators. Randomised trial of telephone intervention in chronic heart failure: DIAL trial. BMJ 2005;331:425.OpenUrlAbstract/FREE Full Text

    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

    Embedded ImageDesign:

    randomised controlled trial (DIAL study).

    Embedded ImageAllocation:

    concealed.

    Embedded ImageBlinding:

    blinded (outcome adjudicators).

    Embedded ImageFollow up period:

    mean 16 months.

    Embedded ImageSetting:

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

    Embedded ImagePatients:

    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 …

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    Footnotes

    • For correspondence: GESICA Investigators, c/o Dr H O Grancelli, Foundación GESICA, Buenos Aires, Argentina. gesica{at}advancedsl.com.ar

    • Source of funding: GESICA Foundation.