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July 18, 2026European Journal of Cardiovascular Nursing

Structured nurse-led follow-up linked to better clinical stability, adherence, and self-care versus usual care.

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Why the study?

Does a structured nurse-led follow-up programme improve clinical outcomes and healthcare efficiency in adult patients with heart failure after hospital discharge compared to usual care?

Population

49 adult patients with heart failure, at least two previous hospital admissions and an identified primary…

Comparison

Structured follow-up led by specialised cardiac… vs Usual follow-up by cardiology and primary care.

Design

Cohort

Follow-up

12 months

Key result

Preliminary analysis of 49 patients suggests a structured nurse-led follow-up programme improves clinical stability, treatment adherence, and self-care compared to usual care.

Authors

RRR Mesa RicoSGS Gomez Garcia-OliasPCP Carbonell-Munoz

Discussion

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Overview

May support nurse-led HF follow-up post-discharge; leaves open confirmation in randomized trials.

Key Points

  • Evaluate the effectiveness and efficiency of a structured nurse-led follow-up programme for heart failure patients after hospital discharge.
  • Multicentre, prospective, longitudinal, quasi-experimental study.
  • Included adult patients with heart failure (HFrEF or NYHA III–IV) and two prior hospital admissions.
  • Follow-up period of 12 months comparing structured care by cardiac nurses to usual cardiology follow-up.
  • Preliminary analysis included 49 patients with a mean age of 70.7 years and mean left ventricular ejection fraction of 31.2%.
  • Improvements observed in clinical stability, treatment adherence, and self-care behaviors.
  • Reduced potentially avoidable hospitalisations and more efficient healthcare resource utilization.

Structured PICO

Does a structured nurse-led follow-up programme improve clinical outcomes and healthcare efficiency in adult patients with heart failure after hospital discharge compared to usual care?

P
Population
49 adult patients with heart failure (HFrEF or NYHA III-IV) and at least two previous hospital admissions, followed for 12 months.
I
Intervention
Structured follow-up led by specialised cardiac nurses, including comprehensive clinical assessment, therapeutic education, treatment optimisation, early detection of decompensation and direct telephone access for 12 months.
C
Comparator
Usual follow-up by cardiology and primary care.
O
Outcome
Clinical variables, self-care behaviours, quality of life and healthcare costs.

A structured nurse-led follow-up program for complex heart failure patients may improve clinical stability, self-care, and healthcare resource utilization compared to usual care.

Cite This Study

Rico et al. (2026) studied heart failure (n=49). structured nurse-led follow-up programme vs. usual follow-up by cardiology and primary care was evaluated on Clinical variables, self-care behaviours, quality of life and healthcare costs. Preliminary analysis of 49 patients suggests a structured nurse-led follow-up programme improves clinical stability, treatment adherence, and self-care compared to usual care.

synapsesocial.com/papers/6a5b39118167787360d24ec8https://doi.org/10.1093/eurjcn/zvag155.022
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intensive patient education by specialized nurses improves quality of life and self-management skills in patients with heart failure in a multicentre randomized controlled trial2026
  2. 2Correlation of the effect of structured nursing intervention on patients with chronic heart failure and patients with acute heart failure in terms of quality of life and self -management2026
  3. 3Nurse-Coordinated Multidisciplinary Comprehensive Heart Failure Management Programme: A Propensity-Matched Trial2025
  4. 4P19 | Post-discharge follow-up in day hospital of patients with heart failure: hospital-territory integrated management2025
  5. 5Technology-supported nurse-led transitional interventions to improve self-care in heart failure patients after hospital discharge: a systematic review and meta-analysis of randomized controlled trials2026 · 1 citations