{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:03:14Z","timestamp":1791579794983,"version":"4.3.4"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2019,5,21]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Follow\u2010up in a nurse\u2010led heart failure (\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              ) clinic is recommended in\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              guidelines, but its association with outcomes remains controversial, with previous studies including few and highly selected patients. Thus, large analyses of \u201creal\u2010world\u201d samples are needed. Aims were to assess: (1) independent predictors of and (2) prognosis associated with planned referral to nurse\u2010led\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              clinics.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We analyzed data from the SwedeHF (Swedish\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              Registry) using multivariable logistic regressions to identify independent predictors of planned referral to a nurse\u2010led\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              clinic and multivariable Cox regressions to test associations between planned referral and outcomes (all\u2010cause death,\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              hospitalization, and their composite). Of 40\u00a0992 patients, 39% were planned to be referred to a follow\u2010up in a nurse\u2010led\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              clinic. Independent characteristics associated with planned referral were shorter duration of\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              , clinical markers of more\u2010severe\n              <jats:styled-content style=\"fixed-case\">HF,<\/jats:styled-content>\n              such as lower ejection fraction, higher New York Heart Association class and N\u2010terminal pro\u2010B\u2010type natriuretic peptide, and lower blood pressure, as well as cohabitating versus living alone, male sex, fewer comorbidities, and more use of\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              treatments. After adjustments, planned referral to a nurse\u2010led\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              clinic was associated with reduced mortality and mortality\/\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              hospitalization, but not\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              hospitalization alone.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              In this nation\u2010wide registry, 39% of our identified\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              cohort was planned to be referred to a nurse\u2010led\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              clinic. Planned referral reflected more\u2010severe\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              , but also sex\u2010 and family\u2010related factors, and it was independently associated with lower risk of death, but not of\n              <jats:styled-content style=\"fixed-case\">HF<\/jats:styled-content>\n              hospitalization.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.118.011737","type":"journal-article","created":{"date-parts":[[2019,5,16]],"date-time":"2019-05-16T09:04:11Z","timestamp":1557997451000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":56,"title":["Nurse\u2010Led Heart Failure Clinics Are Associated With Reduced Mortality but Not Heart Failure Hospitalization"],"prefix":"10.1161","volume":"8","author":[{"given":"Gianluigi","family":"Savarese","sequence":"first","affiliation":[{"name":"Division of Cardiology Department of Medicine Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars H.","family":"Lund","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Medicine Karolinska Institutet Stockholm Sweden"},{"name":"Heart and Vascular Theme Karolinska University Hospital Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulf","family":"Dahlstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences and Department of Cardiology Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Str\u00f6mberg","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences and Department of Cardiology Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.15420\/cfr.2016:25:2"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw128"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000558"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e31829e8776"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2015.14"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.1329"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-9842(00)00099-4"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.568"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.765"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.7326\/M14-0083"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2017.05.011"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hfp175"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.1182"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.781"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.018006"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hft092"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-668X(03)00112-X"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)03428-5"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1403494818765702"},{"key":"e_1_3_1_21_2","unstructured":"United Nations . The sustainable development agenda. Available at: https:\/\/www.un.org\/sustainabledevelopment\/development-agenda\/. 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