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Strategy to recognize and initiate treatment of chronic heart failure (STRETCH).

Conditions
Heart failure
Registration Number
NL-OMON20397
Lead Sponsor
niversity Medical Center Utrecht (UMCU)
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
1500
Inclusion Criteria

1. Age 65 years or over;

2. Shortness of breath as reason for GP contact in the previous 12 months.

Exclusion Criteria

1. Already established heart failure, that is a diagnosis of heart failure confirmed by the cardiologist with echocardiography;

2. A life expectancy shorter than 6 months;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome of the diagnostic part of our combined diagnostic-therapeutic strategy is:<br /><br>1. Prevalence of 'systolic' and 'diastolic' heart failure in elderly who presented to the general practitioner with shortness of breath on exertion.<br><br /><br /><br>The primary outcomes of the therapeutic part of our combined diagnostic-therapeutic strategy are:<br /><br>1. Differences in prescription of ACE-inhibitors and beta-blockers between the intervention and control group after 6 months follow-up;<br /><br>2. Differences in quality of life between patients in the two groups after 6 months follow-up.
Secondary Outcome Measures
NameTimeMethod
1. Differences in heart failure related doctor-appointments and hospitalization rates between the intervention and control group during 6 months follow-up;<br /><br>2. Cost-effectiveness of the implemented diagnostic-therapeutic strategy.
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