Key result
A centralised telephone intervention reduced all-cause mortality or admission for worsening heart failure compared to usual care (26.3% vs 31.0%; RRR 20%, 95% CI 3-34; P=0.026).
Why the study?
Does a centralised telephone intervention reduce all cause mortality or admission to hospital for worsening heart failure in outpatients with stable chronic heart failure?
Population
1518 outpatients with stable chronic heart failure on optimal drug treatment
Comparison
Education, counselling, and monitoring by nurses… vs Usual care
Design
RCT, Randomised, stratified by attending cardiologist
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Supports centralized telephone monitoring in stable HF outpatients; extends remote intervention evidence to hard endpoints in an RCT.
RCT (n=1,518)
Stratified
Yes
Does a centralised telephone intervention reduce all cause mortality or admission to hospital for worsening heart failure in outpatients with stable chronic heart failure?
Effect estimate: RRR 20% (95% CI 3-34)
Absolute Event Rate: 26.3% vs 31%
p-value: p=0.026
A centralized telephone intervention providing education and monitoring by nurses significantly reduces heart failure hospitalizations in outpatients with stable chronic heart failure.
A 2005 study conducted an RCT in Chronic heart failure (n=1,518). Telephone intervention vs. Usual care was evaluated on All cause mortality or admission to hospital for worsening heart failure (RRR 20%, 95% CI 3-34, p=0.026). A centralised telephone intervention reduced all-cause mortality or admission for worsening heart failure compared to usual care (26.3% vs 31.0%; RRR 20%, 95% CI 3-34; P=0.026).