Key result
A complex primary care intervention did not significantly reduce total (OR 0.83; 95% CI 0.54-1.28) or cardiovascular hospital admissions at 6 years compared to usual care.
Why the study?
Does a complex primary care intervention reduce all-cause and cardiovascular hospital admissions in patients with established coronary heart disease?
Population
903 patients with established coronary heart disease from 48 general practices in the Republic of Ireland…
Comparison
Complex primary care intervention consisting of… vs Usual care provided by control practices.
Design
RCT, cluster randomised
Follow-up
6 years
Authors
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Sustained support may be required to maintain reductions in hospital admissions; extends evidence on durability of primary care interventions in CHD.
RCT (n=903)
cluster
Yes
Does a complex primary care intervention reduce all-cause and cardiovascular hospital admissions in patients with established coronary heart disease?
Odds Ratio: 0.83 (95% CI 0.54–1.28)
Initial reductions in hospital admissions achieved by a complex primary care intervention for secondary prevention of coronary heart disease were not sustained at 6 years after intervention support ceased.
Murphy et al. (2015) conducted an RCT in coronary heart disease (n=903). complex primary care intervention vs. usual care was evaluated on total hospital admissions (OR 0.83, 95% CI 0.54 to 1.28). A complex primary care intervention did not significantly reduce total (OR 0.83; 95% CI 0.54-1.28) or cardiovascular hospital admissions at 6 years compared to usual care.
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