NT-BNP Guided Care in Addition to Multidisciplinary Care in Patients With Chronic Heart Failure A Three-Arm, Prospective, Randomised Study
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 主要终点
- Heart failure rehospitalisation rate;
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- 未提供
结局指标
主要结局
Heart failure rehospitalisation rate;
combined endpoint death or heart failure rehospitalisation;
次要结局
未报告次要终点