NT-BNP Guided Care in Addition to Multidisciplinary Care in Patients With Chronic Heart Failure A Three-Arm, Prospective, Randomised Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Decompensated Heart Failure
- Sponsor
- Medical University of Vienna
- Primary Endpoint
- Heart failure rehospitalisation rate;
- Status
- Terminated
- Last Updated
- 19 years ago
Overview
Brief Summary
HF is associated with repeated hospitalisations and poor prognosis.The aim of this study is to investigate whether BNP-guided care (BGC) in addition to multidisciplinary management(MM) improves outcome compared to HNC alone or usual care (UC) for decompensated HF patients after discharge.
Patients hospitalised with cardiac decompensation in 9 Viennese hospitals are randomised to BGC, MM alone, or UC. MM includes 2 consultations of a heart failure (HF) specialist 10 days and 2 months after discharge for recommending medical optimisation and care by a specialised HF nurse including 4 home visits and telephone contact. In addition, BGC includes intensified increase of medical treatment during repeated follow-up visits in a HF clinic in patients with an Nt-BNP level above 2200pg/ml at discharge.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Clinical signs and symptoms of cardiac decompensation during the present hospitalisation
- •NYHA class III or IV at time of admission
- •Cardiothoracic ratio \> 0.5, and/or left ventricular ejection fraction \<40% documented by echocardiography
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Heart failure rehospitalisation rate;
combined endpoint death or heart failure rehospitalisation;