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医生和护士主导的心力衰竭门诊的额外价值:来自Deventer-Alkmaar心力衰竭研究的结果

Added value of a physician-and-nurse-di-rected heart failure clinic:Results from the Deventer-Alkmaar heart failure study
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摘要 目的:明确在心力衰竭(HF)门诊中由临床医生和心血管科护士(均接受过HF方面的培训)对NYHA分级Ⅲ/IV级的患者施行强化干预,能否减少因HF恶化住院和(或)全因死亡(主要终点) Aim: To determine whether an intensive intervention at a heart failure(HF) clinic by a combination of a clinician and a cardiovascular nurse,both trained in HF,reduces the incidence of hospitalisation for worsening HF and/or all-cause mortality(primary end point) and improves functional status(including left ventricular ejection fraction,New York Heart Association(NYHA) class and quality of life) in patients with NYHA class Ⅲ or IV. Setting: Two regional teaching hospitals in The Netherlands. Methods: 240 p...
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