{
  "id": 4731721,
  "title": "Nurse-coordinated collaborative care improved outcomes in patients with heart failure",
  "url": "https://urgent.news/2026/08/31/nurse-coordinated-collaborative-care-improved-outcomes-in-patients",
  "topic": "health",
  "section": "Health & Medicine",
  "published": "2026-08-31T22:20:01.000Z",
  "source": {
    "name": "Medical Xpress",
    "slug": "medical-xpress",
    "url": "https://medicalxpress.com/news/2026-08-nurse-collaborative-outcomes-patients-heart.html"
  },
  "original_language": "en",
  "account": "A nurse-led collaborative care model significantly improved outcomes for patients with heart failure, according to a study presented at ESC Congress 2026 and published in Circulation. Heart failure, affecting over 64 million people worldwide, poses a major public health challenge characterized by high mortality, morbidity, and healthcare costs. While medical therapies are available to reduce deaths and hospitalizations, their utilization in real-world practice remains suboptimal, contributing to persistent global disparities in heart failure outcomes. Dr. Panniyammakal Jeemon from Sree Chitra Tirunal Institute for Medical Sciences & Technology in India designed the TIME-HF trial, a cluster-randomized trial involving 1,507 adults with heart failure and reduced ejection fraction across 22 centers in India. The trial compared a nurse-coordinated collaborative care model to usual care. The nurse-led intervention involved trained nurses working closely with physicians to deliver integrated, patient-centered care, utilizing a mobile health application for real-time communication, data collection, and patient self-monitoring. Nurses provided structured counseling on lifestyle changes, medication adherence, and self-care education. The study found that guideline-directed medical therapy use was higher in the intervention group (37.3% at two years) compared to the usual-care group (22.1% at two years). Importantly, the intervention group experienced a 22% reduction in mortality (84.0% vs 79.4%) and a higher probability of surviving without hospitalization (84.0% vs 79.4%) at two years (p<0.001). This suggests that a structured, nurse-coordinated, technology-enabled delivery model may effectively improve heart failure outcomes in routine care, a strategy applicable to both low- and middle-income countries and other settings worldwide where adherence to guideline-directed medical therapies is lacking.",
  "summary": "Days alive and out of hospital were significantly increased in patients with heart failure when a nurse-coordinated collaborative care model was introduced, according to results presented in a Hot Line session at ESC Congress 2026 and published simultaneously in Circulation.",
  "key_points": [
    "Nurse-led collaborative care model improved heart failure outcomes",
    "TIME-HF trial involved 1,507 patients across 22 Indian centers",
    "Intervention group had 22% higher guideline-directed medical therapy use"
  ],
  "editors_take": null,
  "illustration": null,
  "coverage": {
    "outlets": 1,
    "also_reported_by": []
  },
  "ai_generated": true,
  "disclaimer": "Summaries, key points and the editor’s take are written by software from other outlets’ reporting and may contain errors — always check the linked original."
}