Randomised controlled trial of specialist nurse intervention in heart failure

L. Blue; E. Lang; J. J V McMurray; A. P. Davie; T. A. McDonagh; D. R. Murdoch; M. C. Petrie; E. Connolly; J. Norrie; C. E. Round; I. Ford; C. E. Morrison

doi:10.1136/bmj.323.7315.715

Randomised controlled trial of specialist nurse intervention in heart failure

L. Blue, E. Lang, J. J V McMurray^*, A. P. Davie, T. A. McDonagh, D. R. Murdoch, M. C. Petrie, E. Connolly, J. Norrie, C. E. Round, I. Ford, C. E. Morrison

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract / Description of output

Objectives: To determine whether specialist nurse intervention improves outcome in patients with chronic heart failure. Design: Randomised controlled trial. Setting: Acute medical admissions unit in a teaching hospital. Participants: 165 patients admitted with heart failure due to left ventricular systolic dysfunction. The intervention started before discharge and continued thereafter with home visits for up to 1 year. Main outcome measures: Time to first event analysis of death from all causes or readmission to hospital with worsening heart failure. Results: 31 patients (37%) in the intervention group died or were readmitted with heart failure compared with 45 (53%) in the usual care group (hazard ratio=0.61, 95% confidence interval 0.33 to 0.96). Compared with usual care, patients in the intervention group had fewer readmissions for any reason (86 ν 114, P=0.018), fewer admissions for heart failure (19 ν 45, P<0.001) and spent fewer days in hospital for heart failure (mean 3.43 ν 7.46 days, P=0.0051). Conclusions: Specially trained nurses can improve the outcome of patients admitted to hospital with heart failure.

Original language	English
Pages (from-to)	715-718
Number of pages	4
Journal	British Medical Journal
Volume	323
Issue number	7315
DOIs	https://doi.org/10.1136/bmj.323.7315.715
Publication status	Published - 29 Sept 2001

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title = "Randomised controlled trial of specialist nurse intervention in heart failure",

abstract = "Objectives: To determine whether specialist nurse intervention improves outcome in patients with chronic heart failure. Design: Randomised controlled trial. Setting: Acute medical admissions unit in a teaching hospital. Participants: 165 patients admitted with heart failure due to left ventricular systolic dysfunction. The intervention started before discharge and continued thereafter with home visits for up to 1 year. Main outcome measures: Time to first event analysis of death from all causes or readmission to hospital with worsening heart failure. Results: 31 patients (37%) in the intervention group died or were readmitted with heart failure compared with 45 (53%) in the usual care group (hazard ratio=0.61, 95% confidence interval 0.33 to 0.96). Compared with usual care, patients in the intervention group had fewer readmissions for any reason (86 ν 114, P=0.018), fewer admissions for heart failure (19 ν 45, P<0.001) and spent fewer days in hospital for heart failure (mean 3.43 ν 7.46 days, P=0.0051). Conclusions: Specially trained nurses can improve the outcome of patients admitted to hospital with heart failure.",

author = "L. Blue and E. Lang and McMurray, {J. J V} and Davie, {A. P.} and McDonagh, {T. A.} and Murdoch, {D. R.} and Petrie, {M. C.} and E. Connolly and J. Norrie and Round, {C. E.} and I. Ford and Morrison, {C. E.}",

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doi = "10.1136/bmj.323.7315.715",

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T1 - Randomised controlled trial of specialist nurse intervention in heart failure

AU - Blue, L.

AU - Lang, E.

AU - McMurray, J. J V

AU - Davie, A. P.

AU - McDonagh, T. A.

AU - Murdoch, D. R.

AU - Petrie, M. C.

AU - Connolly, E.

AU - Norrie, J.

AU - Round, C. E.

AU - Ford, I.

AU - Morrison, C. E.

PY - 2001/9/29

Y1 - 2001/9/29

N2 - Objectives: To determine whether specialist nurse intervention improves outcome in patients with chronic heart failure. Design: Randomised controlled trial. Setting: Acute medical admissions unit in a teaching hospital. Participants: 165 patients admitted with heart failure due to left ventricular systolic dysfunction. The intervention started before discharge and continued thereafter with home visits for up to 1 year. Main outcome measures: Time to first event analysis of death from all causes or readmission to hospital with worsening heart failure. Results: 31 patients (37%) in the intervention group died or were readmitted with heart failure compared with 45 (53%) in the usual care group (hazard ratio=0.61, 95% confidence interval 0.33 to 0.96). Compared with usual care, patients in the intervention group had fewer readmissions for any reason (86 ν 114, P=0.018), fewer admissions for heart failure (19 ν 45, P<0.001) and spent fewer days in hospital for heart failure (mean 3.43 ν 7.46 days, P=0.0051). Conclusions: Specially trained nurses can improve the outcome of patients admitted to hospital with heart failure.

AB - Objectives: To determine whether specialist nurse intervention improves outcome in patients with chronic heart failure. Design: Randomised controlled trial. Setting: Acute medical admissions unit in a teaching hospital. Participants: 165 patients admitted with heart failure due to left ventricular systolic dysfunction. The intervention started before discharge and continued thereafter with home visits for up to 1 year. Main outcome measures: Time to first event analysis of death from all causes or readmission to hospital with worsening heart failure. Results: 31 patients (37%) in the intervention group died or were readmitted with heart failure compared with 45 (53%) in the usual care group (hazard ratio=0.61, 95% confidence interval 0.33 to 0.96). Compared with usual care, patients in the intervention group had fewer readmissions for any reason (86 ν 114, P=0.018), fewer admissions for heart failure (19 ν 45, P<0.001) and spent fewer days in hospital for heart failure (mean 3.43 ν 7.46 days, P=0.0051). Conclusions: Specially trained nurses can improve the outcome of patients admitted to hospital with heart failure.

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JO - British Medical Journal

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Randomised controlled trial of specialist nurse intervention in heart failure

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