Secondary prevention clinics for coronary heart disease: a 10-year follow-up of a randomised controlled trial in primary care

Heart
E K DelaneyNeil C Campbell

Abstract

To evaluate the effects of nurse-led secondary prevention clinics for coronary heart disease (CHD) in primary care on total mortality and coronary event rates after 10 years. Follow-up of a randomised controlled trial by review of national datasets. Stratified random sample of 19 general practices in northeast Scotland. Original study cohort of 1343 patients, aged <80 years, with a working diagnosis of CHD, but without dementia or terminal illness and not housebound. Nurse-led secondary prevention clinics promoted medical and lifestyle aspects of secondary prevention and offered regular follow-up for 1 year, Total mortality and coronary events (non-fatal myocardial infarctions (MIs) and coronary deaths). Mean (SD) follow-up was at 10.2 (0.19) years. No significant differences in total mortality or coronary events were found at 10 years. 254 patients in the intervention group and 277 patients in the control group had died: cumulative death rates were 38% and 41%, respectively (p = 0.177). 196 coronary events occurred in the intervention group and 195 in the control group: cumulative event rates were 29.1% and 29.1%, respectively (p = 0.994). When Kaplan-Meier survival analysis, adjusted for age, sex and general practice, was use...Continue Reading

Citations

Jun 3, 2014·BMC Health Services Research·Nahara Anani Martínez-GonzálezThomas Rosemann
Sep 21, 2013·Scandinavian Cardiovascular Journal : SCJ·Minoti SenJan Hasselström
Sep 14, 2010·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·John X RolleyPatricia M Davidson
Oct 30, 2013·International Journal of Stroke : Official Journal of the International Stroke Society·Rita KrishnamurthiUNKNOWN ARCOS IV Programme Group
Jul 8, 2015·Human Resources for Health·Nahara A Martínez-GonzálezThomas Rosemann
Jun 29, 2017·The Cochrane Database of Systematic Reviews·Lindsey AndersonRod S Taylor
Jun 30, 2015·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Edel MurphySusan M Smith
Jun 17, 2010·Journal of Clinical Nursing·John RolleyPatricia Davidson
Jun 3, 2021·Journal of Clinical Medicine·Bernhard Rauch On Behalf Of The Cardiac Rehabilitation Guideline Group

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