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The Helios Heart Registry: A Standardized Registry for Patients With Specific Cardiac Diseases

Recruiting
Conditions
Heart Failure
Atrial Fibrillation
Coronary Artery Disease
Registration Number
NCT04844944
Lead Sponsor
Helios Health Institute GmbH
Brief Summary

Investigator-initiated, prospective, non-randomized, open label, non-interventional multicenter registry to evaluate current treatment of three major cardiovascular disease entities in clinical practice using a standardized variable-set of relevant covariates and outcome measures.

Detailed Description

Heart failure (HF), coronary artery disease (CAD) and atrial fibrillation (AF) are among the most relevant cardiovascular diseases contributing to overall morbidity and mortality each itself and in particular in case of their coexistence. Several new therapies have been introduced in randomized controlled trials but confirmation data of treatment effects in real-world cohorts using a standardized methodology is scarce. The International Consortium for Health Outcomes Measurement (ICHOM) defined standard variable sets for all three diseases in order to objectively monitor the course of disease.

To evaluate current health care utilization and interactions between diseases and treatments in patients with HF, CAD and AF as well as patient-oriented values study initiator will build a prospective, observational, multicenter cardiovascular registry using standardized patient variables and endpoints based on the ICHOM recommendations.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
24000
Inclusion Criteria
  • Age of 18 years or older
  • Inpatient Treatment
  • Present diagnosis of at least one of the three cardiovascular disease entities of interest according to the current guidelines of the European Society of Cardiology (ESC): HF, CAD, AF
Exclusion Criteria
  • Inability to provide informed consent
  • Initial presentation (index hospitalization) in cardiogenic shock or other kinds of shock
  • Patient after heart transplantation or patient with present ventricular assist device (VAD)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
All-cause mortality during f/u18 months
Secondary Outcome Measures
NameTimeMethod
general quality of life (PROMIS)18 months
general quality of life (PHQ2)18 months
rate of rehospitalizations for cardiovascular causes during f/u18 months
cardiovascular mortality during f/u18 months
length of hospital stay3 days
disease specific quality of life (KCCQ-12 [HF])18 months
disease specific quality of life (SAQ-7 [CAD])18 months
rate of rehospitalizations of any cause during f/u18 months
disease specific quality of life (AFEQT [AF])18 months
complications associated with therapeutic interventions18 months

The endpoint will be assessed by trained study personnel by the evaluation of patient interviews and medical records at each FU time point. The outcome is defined as any adverse event likely being associated with a heart failure related procedure (coronary revascularization, valve intervention / surgery, cardiac electronic device implantation) leading to prolonged hospital stay / additional therapeutic interventions / unplanned consultation of medical facilities.

in-hospital mortality3 days
rate of rehospitalizations for specific cardiovascular diseases18 months
rate of specific cardiovascular events18 months
side effects associated with drug treatment18 months

The endpoint will be assessed by trained study personnel by the evaluation of patient interviews and medical records at each FU time point. The outcome is defined as any adverse event or known side effect likely attributed to the heart failure related drug therapy leading to consultation of a medical facility or discontinuation of treatment that became apparent after the last study visit.

disease associated treatment costs18 months
adherence to therapy18 months

The endpoint will be assessed by trained study personnel by the evaluation of patient interviews at each FU time point. The outcome is defined as the accordance of prescribed and actually taken medication (from the last to the actual study visit) and will be presented as a ratio of the number of drug doses taken to the number of drug doses prescribed.

Trial Locations

Locations (10)

Helios Dr. Horst Schmidt Kliniken Wiesbaden

🇩🇪

Wiesbaden, Germany

Heart Center Leipzig at University of Leipzig

🇩🇪

Leipzig, Germany

Helios Universitätsklinikum Wuppertal

🇩🇪

Wuppertal, Germany

Helios Klinikum Berlin-Buch

🇩🇪

Berlin, Germany

Helios Klinikum Erfurt

🇩🇪

Erfurt, Germany

Helios Klinikum Siegburg

🇩🇪

Siegburg, Germany

Helios Klinikum Schwerin

🇩🇪

Schwerin, Germany

Helios Klinikum Gifhorn

🇩🇪

Gifhorn, Germany

Helios Klinikum Hildesheim

🇩🇪

Hildesheim, Germany

Helios Vogtlandklinikum Plauen

🇩🇪

Plauen, Germany

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