MedPath

Future Innovations in Novel Detection of Heart Failure FIND-HF

Active, not recruiting
Conditions
Heart Failure
Interventions
Other: Observational - no intervention given
Registration Number
NCT05756127
Lead Sponsor
University of Leeds
Brief Summary

Heart failure (HF) is increasingly common and associated with excess morbidity, mortality and healthcare costs. New medications are now available which can alter the disease trajectory and reduce clinical events. However, many cases of HF remain undetected until presentation with more advanced symptoms, often requiring hospitalisation. Earlier identification and treatment of HF could reduce downstream healthcare impact, but predicting HF incidence is challenging due to the complexity and varying course of HF. The investigators will use routinely collected hospital-linked primary care data and focus on the use of artificial intelligence methods to develop and validate a prediction model for incident HF. Using clinical factors readily accessible in primary care, the investigators will provide a method for the identification of individuals in the community who are at risk of HF, as well as when incident HF will occur in those at risk, thus accelerating research assessing technologies for the improvement of risk prediction, and the targeting of high-risk individuals for preventive measures and screening.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
14000
Inclusion Criteria
  1. Aged 16 years and older
  2. No history of heart failure
  3. A minimum of one year follow up
Exclusion Criteria

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
All eligible patientsObservational - no intervention givenObservational cohort using anonymized patient-level primary care data linked to secondary administrative data; CPRD-GOLD and CPRD-AURUM.
Primary Outcome Measures
NameTimeMethod
To identify and quantify the magnitude of predictors of new onset HFBetween 2nd Jan 1998 and 28 Feb 2022

The proposed model can extract informative risk factors from EHR data. Specifically we will fit multivariable Cox proportional hazard models with backwards elimination approach to retain predictors of incident HF within each prediction window.

To develop and validate a for predicting the risk of new onset HFBetween 2nd Jan 1998 and 28 Feb 2022

Predictive factors will be identified using Read codes (diagnoses), All variables will be considered as potential predictors, and may include:

1. sociodemographic variables: age, sex, ethnicity, index of multiple deprivation;

2. lifestyle factors (e.g. smoking status, alcohol consumption);

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Leeds

🇬🇧

Leeds, West Yorkshire, United Kingdom

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