The Heart Failure Readmission Intervention by Variable Early Follow-up (THRIVE) Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 2,091
- 主要终点
- Readmission for heart failure within 30-days
研究概览
简要总结
This study is a pragmatic randomized clinical trial to determine the effectiveness of two strategies of early follow-up in adults after hospitalization for heart failure: telephone follow-up with a heart failure care manager vs. in-person clinic visit with their primary care provider. The primary outcomes during 30-day follow-up will include readmission for heart failure, death and readmission for any cause. The study team aims to randomly assign 2400 patients during a 15-month period in a 1-to-1 ratio to either an initial structured telephone call with a heart failure care manager or an in-person primary care clinic visit within 7 days of discharge. A secondary goal is to increase the rate of any follow-up within 7 days of discharge to greater than 90 percent among all eligible patients.
详细描述
Heart failure (HF) affects >5 million adults nationally and is the leading cause of hospitalization among Medicare beneficiaries. Reducing hospitalization for heart failure (HF) and subsequent readmissions shortly after discharge is a nationally recognized health care delivery system priority. More than 20% of Medicare patients hospitalized for HF are readmitted within 30 days and this rate has not been declining over the past decade despite increasing attention to this problem. The data that will be collected could allow the study team to tailor the post-discharge follow-up program to patient characteristics to further improve the effectiveness of the interventions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All eligible patients hospitalized for confirmed acute heart failure at a Kaiser Permanente Northern California medical center
排除标准
- •Planned discharge to a location other than their home. This includes a skilled nursing facility, nursing home or hospice facility.
- •Planned discharge to home with hospice care.
- •End-stage renal disease treated with chronic peritoneal dialysis or hemodialysis.
- •Death during the index hospitalization.
研究组 & 干预措施
Telephone Follow-Up Intervention
干预措施: Telephone Call (Other)
In-person follow-up intervention
干预措施: In-Person Primary Care Clinical Follow-Up Visit (Other)
结局指标
主要结局
Readmission for heart failure within 30-days
时间窗: 30 days after discharge
To compare 30-day rates of heart failure-related readmission for subjects randomly assigned to initial heart failure care manager telephone visit vs. in-person primary care clinic visit within 7 days after discharge from a heart failure hospitalization.
次要结局
- Readmission for any cause within 30 days(30 days after discharge)
- Death from any cause within 30 days(30 days after discharge)
- Increase in 7-day follow-up rates(7 days after discharge)