However , there were no consistent relationships observed between intervention characteristics and the effects of interventions .
Most trials review ed demonstrated a beneficial impact of nursing interventions for secondary prevention in patients with CAD or heart failure .
OBJECTIVE This systematic review of recent r and omized trials was conducted to determine if cardiovascular nursing interventions improve outcomes in patients with coronary artery disease ( CAD ) and /or heart failure .
Cost‐effectiveness of nurse practitioner management of hypercholesterolemia following coronary revascularization
Purpose : To evaluate the cost‐effectiveness of case management by a nurse practitioner ( NP ) to lower blood lipids in patients with coronary heart disease ( CHD ) from a managed care perspective . Data sources : A total of 228 consecutive , eligible adults with hypercholesterolemia and CHD were recruited during hospitalization after coronary revascularization . Patients were r and omized to receive lipid management , including individualized lifestyle modification and pharmacologic intervention from an NP for 1 year after discharge in addition to their usual care ( NURS ) or to receive usual care ( EUC ) enhanced with feedback on lipids to their primary provider and /or cardiologist . A cost‐effectiveness ratio was calculated using incremental costs of the NURS group per unit change and percent change in low‐density lipoprotein cholesterol ( LDL‐C ) for 1 year at 2004 values . Conclusions : The annual incremental cost‐effectiveness of NP case management was $ 26.03 per mg/dL and $ 39.05 per percent reduction in LDL‐C. When costs of NURS care for the second 6 months of management were compared to the first 6 months of management , nursing salary costs were lower as patients were established on cholesterol management regimens , but the reduction in costs was offset by the increase in incremental costs of drug treatment as the NP titrated the patient to higher drug dosages that were more costly . Implication s for practice : The findings suggest that case management by an NP is a cost‐effective approach for a managed care organization to consider in improving the care of patients with cardiovascular disease
However , there were no consistent relationships observed between intervention characteristics and the effects of interventions .
Most trials review ed demonstrated a beneficial impact of nursing interventions for secondary prevention in patients with CAD or heart failure .
OBJECTIVE This systematic review of recent r and omized trials was conducted to determine if cardiovascular nursing interventions improve outcomes in patients with coronary artery disease ( CAD ) and /or heart failure .