Evidence mapPaperPMID 40920492Full record

ArticleESC heart failure2025

Nurse-coordinated multidisciplinary comprehensive heart failure management programme: A propensity-matched trial.

Cecilia Miu-Ching Chan, Polly Wai-Chi Li, Derek Pok-Him Lee, Esmond Yan-Hang Fong, Ivy Sin-Yee Ng, Samantha Ki-Man Chiu, Clara Woon-Shan Fok, Frederick Kin-Wa Li, Shirley Ka-Wai Lee, Karen K Y Ho and 4 more

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In one paragraph

Article in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Cecilia Miu-Ching ChanDepartment of Medicine, Division of Cardiology, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Polly Wai-Chi LiSchool of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0001-6309-5906
Derek Pok-Him LeeDepartment of Medicine, Division of Cardiology, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Esmond Yan-Hang FongDepartment of Medicine, Division of Cardiology, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Ivy Sin-Yee NgDepartment of Medicine, Division of Cardiology, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Samantha Ki-Man ChiuDepartment of Medicine, Division of Cardiology, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Clara Woon-Shan FokDepartment of Medicine, Division of Cardiology, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Frederick Kin-Wa LiPhysiotherapy Department, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Shirley Ka-Wai LeePhysiotherapy Department, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Karen K Y HoDepartment of Pharmacy, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Wilson Y S LeungDepartment of Pharmacy, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Cathy Cheuk-Sum ChanDepartment of Occupational Therapy, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Cindy Yiu-Ning TsangDepartment of Occupational Therapy, Queen Elizabeth Hospital, Hong Kong, Hong Kong.
Michael Kang-Yin LeeDepartment of Medicine, Division of Cardiology, Queen Elizabeth Hospital, Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0002-7074-2347

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsDespite therapeutic advancements, the prognosis of heart failure (HF) remains poor, with high rates of mortality and readmission, particularly following a HF exacerbation. This study aimed to evaluate the effects of a nurse-coordinated multidisciplinary comprehensive HF management programme on HF patients. METHODS AND

resultsThis retrospective cohort study involved patients admitted for acute HF exacerbation at a regional hospital in Hong Kong. We established two patient cohorts: the control cohort, recruited between January and December 2021, received standard care, while the programme cohort, recruited from October 2022 to December 2023, participated in a comprehensive programme. This programme included multidisciplinary ward rounds, early initiation of guideline-directed medical therapy (GDMT), discharge education, post-discharge transitional care and cardiac rehabilitation. The primary outcome was the composite endpoint of all-cause mortality and HF-related readmission at 6 months. Secondary endpoints included HF-related readmission and all-cause mortality. We also assessed patient satisfaction and health-related quality of life (HRQoL) in the programme cohort. The study included 732 patients, 24.0% female, 81.6% with HFrEF, mean age of 67.9 ± 13.2 years. After matching for age, sex and type of HF, 366 patients were allocated to each cohort. The programme cohort demonstrated significantly lower rates of the composite endpoint [12.0% vs. 38.0%, adjusted hazard ratio (aHR) = 0.26, 95% confidence interval (CI) = 0.19-0.37, P < 0.001]) and HF-related readmissions (10.1% vs. 25.4%, aHR = 0.36, 95% CI = 0.24-0.52, P < 0.001) compared with the control cohort. All-cause mortality was also significantly reduced (4.4% vs. 18.3%, aHR = 0.22, 95% CI = 0.13-0.38, P < 0.001). Improvements in HRQoL and high patient satisfaction were noted in the programme cohort.

conclusionsThe nurse-coordinated comprehensive HF management programme significantly reduced readmissions and mortality, with consistent benefits across different subgroups. Further research is needed to confirm these benefits and explore mechanisms.

Indexed as

Disease ManagementHeart FailurePatient Care TeamPropensity ScoreQuality of LifeAgedFemaleFollow-Up StudiesHong KongHumansMaleMiddle AgedPatient ReadmissionRetrospective StudiesGuideline‐directed medical therapyHeart failureMortalityMultidisciplinary careReadmissionTransitional care

Identifiers

PMID40920492
PMCPMC12719847

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.