Evidence map›Paper›PMID 42437973›Full record

ArticleJournal of internal medicine2026

Age-stratified effectiveness of a nurse-led heart failure programme: A population-based study.

Blanca Torres-Cardús, Emili Vela-Vallespín, David Monterde, Gerard Carot-Sans, Jordi Piera-Jiménez, Júlia Folguera, Laia Alcober-Morte, Raúl Ramos-Polo, Encarnación Hidalgo-Quirós, Núria José-Bazán and 12 more

Abstract read
In one paragraph

Article in Journal of internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Blanca Torres-CardúsPrimary Care Service Delta del Llobregat, South Metropolitan Territory Management, Catalan Institute of Health, L'Hospitalet de Llobregat, Spain.ORCID https://orcid.org/0009-0008-7183-2046
Emili Vela-VallespínCatalan Health Service, Barcelona, Spain.ORCID https://orcid.org/0000-0002-8736-5365
David MonterdeCatalan Health Service, Barcelona, Spain.ORCID https://orcid.org/0000-0001-5362-0455
Gerard Carot-SansCatalan Health Service, Barcelona, Spain.ORCID https://orcid.org/0000-0001-5982-7975
Jordi Piera-JiménezCatalan Health Service, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6471-9979
Júlia FolgueraCatalan Health Service, Barcelona, Spain.ORCID https://orcid.org/0000-0002-2519-0053
Laia Alcober-MortePrimary Care Service Delta del Llobregat, South Metropolitan Territory Management, Catalan Institute of Health, L'Hospitalet de Llobregat, Spain.ORCID https://orcid.org/0000-0002-8445-5074
Raúl Ramos-PoloFaculty of Medicine and Health Sciences, Universitat de Barcelona (UB), Barcelona, Spain.
Encarnación Hidalgo-QuirósCommunity Heart Failure Program, Cardiology Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
Núria José-BazánCommunity Heart Failure Program, Cardiology Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6157-0849
Sergi Yun ViladomatCIBERCV Research Group, Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares, Madrid, Spain.ORCID https://orcid.org/0000-0003-4858-9566
Pedro MolinerFaculty of Medicine and Health Sciences, Universitat de Barcelona (UB), Barcelona, Spain.ORCID https://orcid.org/0000-0002-5511-8597
Santiago Jiménez-MarreroCIBERCV Research Group, Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares, Madrid, Spain.ORCID https://orcid.org/0000-0002-4574-4252
Alberto Garay MeleroCIBERCV Research Group, Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares, Madrid, Spain.ORCID https://orcid.org/0000-0001-6049-3845
Alexandra Pons RiverolaFaculty of Medicine and Health Sciences, Universitat de Barcelona (UB), Barcelona, Spain.ORCID https://orcid.org/0000-0003-4882-2794
Lídia Alcoberro TorresFaculty of Medicine and Health Sciences, Universitat de Barcelona (UB), Barcelona, Spain.ORCID https://orcid.org/0000-0003-1904-7880
Herminio MorillasCommunity Heart Failure Program, Cardiology Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.ORCID https://orcid.org/0000-0003-4039-6022
Betlem Salvador-GonzálezMARCEVAP Research Group, IDIAP Jordi Gol, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6262-2479
Sílvia Jovells-VaquéBio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.ORCID https://orcid.org/0000-0003-0358-0840
Mireia Andrés VillarealPrimary Care Service Delta del Llobregat, South Metropolitan Territory Management, Catalan Institute of Health, L'Hospitalet de Llobregat, Spain.ORCID https://orcid.org/0000-0002-0657-5855
Cristina EnjuanesFaculty of Medicine and Health Sciences, Universitat de Barcelona (UB), Barcelona, Spain.ORCID https://orcid.org/0000-0002-7916-1223
Josep Comin-ColetFaculty of Medicine and Health Sciences, Universitat de Barcelona (UB), Barcelona, Spain.ORCID https://orcid.org/0000-0001-8780-720X

Funding

Department of Health of the Government of Catalonia SLT028/23/000018
6 · The paper itself

Abstract

aimOld age is associated with poor outcomes in patients with heart failure (HF). This study aimed to assess the impact of age on the effectiveness of a new integrated, transition-based nurse-led HF programme in a healthcare area with 209,255 inhabitants.

methodsWe conducted a population-based evaluation of all patients discharged from the hospital with International Classification of Diseases, ninth revision, Clinical Modification code for HF as the primary diagnosis in Catalonia between 2015 and 2019. We compared outcomes between patients exposed to the new HF programme with the rest of Catalonia, stratified by age.

resultsA total of 77,554 patients with HF were classified into three groups: 15-74, 75-84 and >84 years. In the Bellvitge University Hospital (HUB)-Delta area (3396 HF patients), comparison of the pre-implementation and consolidation periods of the programme showed a decrease in clinically related hospitalisation in the youngest group (hazard ratio [HR] 0.87; confidence interval [CI] 0.84-0.91, p < 0.001), the middle-age group (HR 0.90; CI 0.87-0.93, p < 0.001) and the oldest group (HR 0.83; CI 0.83-0.89; p < 0.001). Similar results were observed for all-cause mortality and readmission. Compared with HF care in the rest of Catalonia, the new programme resulted in a significant reduction in all-cause mortality across all age groups and all-cause hospitalisations among the young and middle-aged groups during the programme's transition and consolidation periods.

conclusionsImplementation of the new HF programme within a universal-coverage healthcare system was associated with significant reductions in all-cause clinically related hospitalisations and HF readmissions across all age groups.

Indexed as

Heart FailureAdolescentAdultAgedAged, 80 and overAge FactorsFemaleHospitalizationHumansMaleMiddle AgedPatient ReadmissionProgram EvaluationSpainYoung Adultagedchronic heart failureheart failure (HF) management programmesmortalityvulnerable populations

Identifiers

PMID42437973
PMCPMC13429005

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.