OBJECTIVE: To evaluate the effects of secondary prevention clinics run by nurses in general practice on the health of @entity1 with @entity301 . DESIGN: Randomised controlled trial of clinics over one year with assessment by self completed postal questionnaires and audit of medical records at the start and end of the trial. SETTING: Random sample of 19 general practices in northeast Scotland. SUBJECTS: 1173 @entity1 (685 @entity1 and 488 @entity1 ) under 80 years with working diagnoses of @entity301 who did not have @entity221 or @entity303 and were not housebound. INTERVENTION: Clinic staff promoted medical and lifestyle aspects of secondary prevention and offered regular follow up. MAIN OUTCOME MEASURES: Health status measured by the SF-36 questionnaire, @entity662 by the angina type specification, and @entity148 and @entity308 by the hospital @entity148 and @entity308 scale. Use of health services before and during the study. RESULTS: There were significant improvements in six of eight health status domains (all functioning scales, @entity158 , and general health) among @entity1 attending the clinic. Role limitations attributed to physical problems improved most (adjusted difference 8.52, 95% confidence interval 4.16 to 12. 9). Fewer @entity1 reported worsening @entity662 (odds ratio 0.59, 95% confidence interval 0.37 to 0.94). There were no significant effects on @entity148 or @entity308 . Fewer intervention group @entity1 required hospital admissions (0.64, 0.48 to 0.86), but general practitioner consultation rates did not alter. CONCLUSIONS: Within their first year secondary prevention clinics improved @entity1 ' health and reduced hospital admissions.

Secondary prevention clinics for XXXX : randomised trial of effect on health.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity662 :: ('MESH:D002637', 'Disease') :: ['chest pain'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity301 :: ('MESH:D003327', 'Disease') :: ['coronary heart disease'] @entity303 :: ('MESH:D003704', 'Disease') :: ['dementia'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity221 :: ('MESH:D005334', 'Disease') :: ['terminal illness']
@entity301 :: (MESH:D003327,Disease) :: ['coronary heart disease']
