作者
Simon Stewart, Joshua F Wiley, Jocasta Ball, Yih-Kai Chan, Yasmin Ahamed, David R Thompson, Melinda J Carrington
发表日期
2016/5/10
期刊
Circulation
卷号
133
期号
19
页码范围
1867-1877
出版商
Lippincott Williams & Wilkins
简介
Background
We sought to determine the overall impact of a nurse-led, multidisciplinary home-based intervention (HBI) adapted to hospitalized patients with chronic forms of heart disease of varying types.
Methods and Results
Prospectively planned, combined, secondary analysis of 3 randomized trials (1226 patients) of HBI were compared with standard management. Hospitalized patients presenting with heart disease but not heart failure, atrial fibrillation but not heart failure, and heart failure, as well, were recruited. Overall, 612 and 614 patients, respectively, were allocated to a home visit 7 to 14 days postdischarge by a cardiac nurse with follow-up and multidisciplinary support according to clinical need or standard management. The primary outcome of days-alive and out-of-hospital was examined on an intention-to-treat basis. During 1371 days (interquartile range, 1112–1605) of follow-up, 218 patients died and …
引用总数
2016201720182019202020212022202320241921026391