Nurse led transitional care improved health related quality of life and reduced emergency department use for heart failure
Bibliographic record
Abstract
Harrison MB, Browne GB, Roberts J, et al. Quality of life of individuals with heart failure: a randomised trial of the effectiveness of two models of hospital-to-home transition. Med Care2002 ; 40 : 271 –82 [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: In patients admitted to hospital with heart failure, is nurse led transitional care more effective than usual care for improving health related quality of life and reducing use of health services? Randomised (allocation concealed), blinded {data collectors and data analysts},* controlled trial with follow up 12 weeks after hospital discharge. A large urban teaching hospital in Ottawa, Ontario, Canada. 192 patients (mean age 76 y, 55% men) who were admitted to a general medical unit with congestive heart failure were included if they resided in the regional home care radius, expected to be discharged with home nursing care, were admitted for >24 hours to the nursing units, and were not cognitively impaired. Follow up was 82%. Patients were allocated to … [1]: {openurl}?query=rft.jtitle%253DMedical%2Bcare%26rft.stitle%253DMed%2BCare%26rft.aulast%253DHarrison%26rft.auinit1%253DM.%2BB.%26rft.volume%253D40%26rft.issue%253D4%26rft.spage%253D271%26rft.epage%253D282%26rft.atitle%253DQuality%2Bof%2Blife%2Bof%2Bindividuals%2Bwith%2Bheart%2Bfailure%253A%2Ba%2Brandomized%2Btrial%2Bof%2Bthe%2Beffectiveness%2Bof%2Btwo%2Bmodels%2Bof%2Bhospital-to-home%2Btransition.%26rft_id%253Dinfo%253Adoi%252F10.1097%252F00005650-200204000-00003%26rft_id%253Dinfo%253Apmid%252F12021683%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1097/00005650-200204000-00003&link_type=DOI [3]: /lookup/external-ref?access_num=12021683&link_type=MED&atom=%2Febnurs%2F6%2F1%2F21.atom [4]: /lookup/external-ref?access_num=000174712000003&link_type=ISI
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.007 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".