RAndomized Controlled Trial of a Multiple INtervention proGram to Decrease Heart Failure Rehospitalization
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 25
- 试验地点
- 10
- 主要终点
- Number of participants with a re-hospitalization due to heart decompensation
研究概览
简要总结
The prevalence of heart failure (HF) is constantly increasing in France due to the aging of the population, better management of etiological factors and improved treatments (drug / interventional). On the other hand, re-hospitalizations for heart failure continue to increase, exceeding reception capacities and constitute a real challenge for current public health systems. The PRADO system provides administrative support (through a health insurance advisor) in the management of patient appointments with their doctors as well as home visits by a nurse trained in heart failure. Other interventional medical and educational interventions performed during an out-of-hospital consultation guided by a computer platform would help to optimize the care and continuity of care.
详细描述
The aim of this study is to demonstrate the value of a multiple intervention program in reducing early readmissions for heat failure in patients hospitalized for cardiac decompensation.
This work will create an interventional assistance program to structure the exit consultation in order to optimize treatment, educate patients, ensure the continuity of hospital-city care and improve compliance (reminders) to reduce re-hospitalizations. This program will be carried out by using a computer platform allowing the systematization of output documents and the sending of messages (e-mail / SMS) for making appointments (medical consultations, biologicals sampling) and perfect therapeutic education.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Heart decompensation requiring hospitalization and the use of intravenous diuretic therapy
- •Left Ventricular Ejection Fraction ≤ 40%.
排除标准
- •Hospitalization for cardiac decompensation leading to an invasive procedure (valve, coronary, etc.).
- •Acute reversible cause of heart failure.
- •Incurable disease (other than heart failure) or estimated life expectancy of less than one year.
- •Patient transferred directly to another department or cardiac rehabilitation center.
- •Significant cognitive impairment.
- •Patient without cell phone or email.
- •Linguistic or psychic refusal or inability to sign the informed consent.
- •Current participation in a clinical tria
结局指标
主要结局
Number of participants with a re-hospitalization due to heart decompensation
时间窗: 3 months
Defined as occurence of the need for hospitalization for cardiac decompensation justifying the use of intravenous diuretic therapy.
次要结局
- Number of participants with death(12 months)
- Number of participants with a re-hospitalization due to heart decompensation(12 months)
- Number of re-hospitalization due to heart decompensation per patient(12 months)
- Delay between discharge and re-hospitalization due to heart decompensation(12 months)
- Rate of pacemaker implantation(12 months)