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 a disease management programme for secondary prevention of coronary heart disease and heart failure in primary care
Objective : To determine if a disease management programme for patients with coronary heart disease and heart failure represents an efficient use of health services re sources . Methods : We carried out an economic evaluation alongside a cluster r and omised control trial of 1163 patients with coronary heart disease and chronic heart failure in 20 primary care practice s in the United Kingdom . Practice s were r and omised to either a control group , where patients received st and ard general practice care , or an intervention group where patients had access to a specialist nurse-led disease management programme . We estimated costs in both groups for coronary heart disease-related re source use . The main outcome measure used in the economic evaluation was quality adjusted life years ( QALY ) measured using the EuroQol . Results : The disease management programme was associated with an increase in the QALY measured of 0.03 per year and an increase in the total NHS costs of £ 425 ( € 540 ) , of this only £ 83 was directly associated with the provision of the nurse clinics . The clinics generated additional QALY at an incremental cost of £ 13 158 per QALY compared to the control group . Conclusions : The use of a nurse-led disease management programme is associated with increased costs in other coronary heart disease-related services as well as for the costs of the clinics . They are also associated with improvements in health . Even in the short term these disease management programmes may represent a cost-effective service , as additional QALY are generated at an acceptable extra cost
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 .