ISBN: Risk strata (proportions are estimates) COACH Jaarsma 2008157 - enhanced NS All 50% 35% ADHF 0.7 DEAL-HF trial De la Porte 2007 87 NS 30% All 30% Severe NS Del sindaco 200791 NS All 60% 50% Older patients ADHF NS OPTIMAL trial Mejhert 2004 220 PRICE trial Atienza 200422 NS All 90% NS ADHF 0.5 (low) Low Risk (stable HF) - Long interventions NS NS 35% 25% Nil low risk 0.6 HICMan trial Peters-klimm 2010 257 None 25% 30% 25% Nil low risk 0.4 (low) None NS 50% 40% Nil low risk NS Northstar trial Schou 2013 300 None None 11% None Nil low risk 0.8 NS 25% mean NYHA NS Older patients Nil low risk 0.7 (a) New dx = identified as new diagnosis of heart failure at recruitment. (b) ADHF = Acute decompensated heart failure risk strata signifying recent decompensation, defined by selection to study due to visit to emergency dept or inpatient admission due to heart failure, with or without congestion. (c) Severe = proportion NYHA III-IV at baseline (note that if recruited while decompensated, this may be higher than their chronic severity). (d) Req. titration = Requiring medication titration, device implantation or surgical intervention if not stated, this was estimated by looking at baseline medication NS = not stated in study paper Table 101: Professions / Competencies delivering interventions (studies arranged by strata) First Author / Trial name Doctor (secondary care) Nurse (secondary care) Pharma- cist Diet- ician Occupation- al therapist Social worker Physio- therapist Primary care Details High Risk - Short interventions Ledwidge HF nurse Y Education from nurse and dietician in hospital, followed by telephone contact weekly for 12 weeks by HF nurse specialist. Appts at clinic after 2 and 6 Referral and approach to care Chronic Heart Failure NICE 2018. 