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. 2007 Apr 18;2007(2):CD002214. doi: 10.1002/14651858.CD002214.pub3

Hall 1975.

Methods Study design: quasi random controlled trial based on terminal digit of accession number. 
 Unit of allocation: Patient 
 Unit of analysis: Patient 
 Power calculation: Not done 
 Concealment*: Unclear method of assignment was 'withheld from physicians' 
 Follow‐up*: 94.6%. 
 Blinded assessment*: Done for length of stay and discharge destination. Not done for functional status. 
 Baseline*: Differences noted in functional independence in favour of intervention group. 
 Reliable outcomes*: Done for length of stay and discharge destination. Not clear for functional status. 
 Contamination*. Possible for long term follow up ‐ control patients readmitted to NL ‐ but not substantial (14 patients in total) 
 Intention to treat analysis*: Done
Participants Patients post acute coronary event (MI, heart failure rhythm disorder) assessed as being medically stable and having a remediable nursing need.
Treatment 351 mean age 66.2, 39% Female mean 19.8 days post admission 
 Control 188 mean age 67.0, 40% Female mean 20.1 days post admission
94.6% of patients followed up for main outcome (death within 18 months)
Interventions Unit / setting: 2 x 40 bed units attached to acute general / tertiary care teaching hospital 
 Care management: Admission authorised by nurse manager . Care planned and managed by primary nurse. 
 Nursing Team: Described as all Registered Nurses. 1 RN per 8/10 patients during the day 
 MD team: No detail given ‐ the role of other professions is described as advisory 
 Education / preparation for staff: 
 Other: Extensive descriptions are given of changes in the philosophy and approach to nursing and attempts to make the unit more informal and inviting (open visiting)
Control: Usual care in medically managed acute units
Outcomes Lenght of stay 
 Mortality to 18 months 
 Independence 
 Readmission 
 Hospital charges 
 Satisfaction
Notes Quality score 2/7
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk D ‐ Not used