Heart : official journal of the British Cardiac Society
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Randomized Controlled Trial Multicenter Study
Cost-effectiveness of a disease management programme for secondary prevention of coronary heart disease and heart failure in primary care.
To determine if a disease management programme for patients with coronary heart disease and heart failure represents an efficient use of health services resources. ⋯ The use of a nurse-led disease management programme is associated with increased costs in other coronary heart disease-related services as well as for the costs of the clinics. They are also associated with improvements in health. Even in the short term these disease management programmes may represent a cost-effective service, as additional QALY are generated at an acceptable extra cost.
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Multicenter Study
The Northern Ireland Public Access Defibrillation (NIPAD) study: effectiveness in urban and rural populations.
To assess the impact of mobile automated external defibrillators (AEDs) on out-of-hospital cardiac arrests (OHCAs) in urban and rural populations. ⋯ Despite improvement in CRI there was no impact on survival (witnessed arrest 32.8%, VF 15.6%).
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Multicenter Study
Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to a general hospital: the EGSYS score.
To develop, in patients referred for syncope to an emergency department (ED), a diagnostic score to identify those patients likely to have a cardiac cause. ⋯ A simple score derived from clinical history can be usefully employed for the triage and management of patients with syncope in an ED.