title: [Randomised clinical trial to evaluate the efficacy of a multi-factorial intervention to reduce hospitalisation and improve the quality of life of patients with heart failure].
abstract: OBJECTIVE
  To evaluate the efficacy of a multi-disciplinary non-pharmacological intervention to reduce cardiovascular mortality and hospital re-admissions due to heart failure.
  
  
  METHODS
  Randomised, open, controlled, parallel, multi-centre prospective clinical trial.
  
  
  METHODS
  Sardenya Primary Care Centre (PCC), les Corts PCC, "El Remei" PCC (Vic Sud), Vall d'Hebron Hospital, Hospital Clínic, Vic Hospital, Hospital Dos de Maig.
  
  
  METHODS
  300 patients diagnosed with heart failure.
  
  
  METHODS
  Monthly home visits with intercalated phone calls from very well trained nursing staff to provide education on the illness and treatments, optimise therapy compliance, and inform on self-monitoring and management (especially early detection and treatment of decompensation).
  
  
  METHODS
  Combined variable of mortality for cardiovascular reasons and re-hospitalisation due to heart failure (via Casualty and/or Admissions) at 1 year. Health-related quality of life.
  
  
  CONCLUSIONS
  Open study, as it is impossible to mask the intervention. The home intervention is not too complex and is easily performed by well-trained health professionals. Its use could be generalised, if a clinically relevant degree of efficacy was shown.
authors.affiliation: Unidad de Investigación, Centro de Atención Primaria Sardenya, Servei Català de la Salut, Barcelona, Spain. cbrotons@eapsardenya.net
authors.forename: C
authors.initials: C
authors.lastname: Brotons
authors.forename: M
authors.initials: M
authors.lastname: Martínez
authors.forename: E
authors.initials: E
authors.lastname: Rayó
authors.forename: C
authors.initials: C
authors.lastname: Morralla
authors.forename: E
authors.initials: E
authors.lastname: Ballarín
authors.forename: E
authors.initials: E
authors.lastname: Pérez
mesh_terms: D003627:Data Interpretation, Statistical; D005500:Follow-Up Studies; D006333:Heart Failure / Q000401:mortality / Q000451:nursing / Q000628:therapy*; D006699:Home Care Services; D006760:Hospitalization; D006801:Humans; D010349:Patient Compliance; D010353:Patient Education as Topic; D018579:Patient Selection; D011446:Prospective Studies; D011788:Quality of Life; D013030:Spain; D013997:Time Factors