title: [Effects of three different disease management programs on outcomes in patients hospitalized with heart failure: a randomized trial].
abstract: OBJECTIVE
  Despite the recognized benefit of intervention programs in patients with heart failure (HF), it is unknown whether different types of programs have similar efficacy. The aim of our study was to compare the effectiveness of three different types of intervention.
  
  
  METHODS
  208 patients discharged with the diagnosis of HF were randomized. Fifty-two were assigned to each one of different groups of intervention (home visits, telephone follow-up, HF unit) and 52 patients to usual care (control group).
  
  
  RESULTS
  Median follow-up was 10.8±3.2 months. During the study, the primary end point (HF hospitalization or death) was reached in: 20 patients (38.5%) in control group, 19 (36.5%) in telephone follow-up (HR 1.11; IC95% [0.59-2.01], p=0.79), 24 (46.2%) in home visits (HR 1.27; IC95% [0.69-2.32], p=0.78) and 23 patients (44.2%) in HF unit (HR 1.33; IC95% [0.73-0.42], p=0.79). There was a trend to higher hospitalizations (shorter) with lower mortality in intervention groups (mortality: 23.1% intervention groups vs 33.3% in control group, HR 0.61 IC al 95% [0.35-1.01], p=0.08).
  
  
  CONCLUSIONS
  In our study, the application of three different intervention programs in patients with HF has a little non-significant prognosis benefit, with a slight increase in the number of shorts hospitalizations in HF unit.
authors: Servicio de Cardiología, Complejo Hospitalario La Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain. agalo1980@hotmail.com
authors: Antonio Luis
authors: AL
authors: Gámez-López
authors: Juan Luis
authors: JL
authors: Bonilla-Palomas
authors: Manuel
authors: M
authors: Anguita-Sánchez
authors: Juan Carlos
authors: JC
authors: Castillo-Domínguez
authors: José María
authors: JM
authors: Arizón del Prado
authors: José
authors: J
authors: Suárez de Lezo