Nurse-led heart failure clinics are associated with reduced mortality but not heart failure hospitalization
Journal of the American Heart Association May 23, 2019
Savarese G, et al. - Using data from the Swedish HF Registry, researchers investigated independent predictors of, as well as the prognosis associated with, planned referral to nurse-led heart failure (HF) clinics. They identified the following independent features linked to planned referral: shorter duration of HF, clinical markers of more severe HF, higher New York Heart Association class and N-terminal pro-B-type natriuretic peptide, lower blood pressure, and cohabitating vs living alone, male sex, fewer comorbidities, and more use of HF treatments. A total of 39% of the identified HF cohort was planned to be referred to a nurse-led HF clinic. More-severe HF as well as sex- and family-related factors were reflected by planned referral. Findings revealed an independent association of planned referral with lower mortality risk, but not of HF hospitalization.
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