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

https://doi.org/10.1136/ebn.5.2.55

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    Blue L, Lang E, McMurray JJ, et al. Randomised controlled trial of specialist nurse intervention in heart failure.BMJ2001 Sep 29;323:715–8OpenUrlAbstract/FREE Full Text

    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 …

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    Footnotes

    • Source of funding: Scottish Office, Department of Health

    • For correspondence: Dr J J McMurray, Department of Cardiology, Western Infirmary, Glasgow, UK. j.mcmurray{at}bio.gla.ac.uk

    • A modified version of this abstract appears in ACP Journal Club.

    • Additional references appear on the Evidence-Based Nursing website www.evidencebasednursing.com

    • ↵* Information provided by author.