American Registry of Ambulatory or Acutely Decompensated Heart Failure
- Conditions
- Acute Heart Failure (AHF)Heart FailureChronic Heart Failure
- Registration Number
- NCT05295641
- Lead Sponsor
- Fundacion Clinica Valle del Lili
- Brief Summary
The purpose of this study is to better characterize and understand the population of patients with ambulatory or acutely decompensated heart failure in the American continent, getting to know their sociodemographic, clinical and paraclinical characteristics
- Detailed Description
An observational, prospective and multicenter study in which ambulatory patients with a confirmed diagnosis of heart failure and those admitted to the hospitalization service due to an episode of acutely decompensated heart failure will be invited to participate in order to better characterize this population
Participants who meet the eligibility criteria will be evaluated at the moment of recruitment. Follow-ups will be performed at 1, 6 and 12 months after the initial registry for hospitalized patients. For ambulatory patients follow-up will only be performed at 12 months. These initial evaluations and subsequents follow-ups will be carried out using a standardized form for the collection of hospital and outpatient data through an electronic platform
The purpose of this study is to know sociodemographic, clinical (clinical presentation, hemodynamic profiles, in-hospital and outpatient management, re-hospitalization rate, proportion of mortality, cumulative survival and heart failure readmission-free survival) and paraclinical characteristics of this population
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 6732
- Patient aged 18 years or older and one of the following:
- Hospitalized patient with admission diagnosis of acutely decompensated heart failure or
- Outpatient with confirmed diagnosis (main or complementary) of heart failure
- Hospitalized patient with principal diagnosis of another cardiovascular / non-cardiovascular pathology and who develops an acute decompensation of heart failure during hospitalization.
- Patient on heart transplant waiting list
- Patient who has implanted or is in process of implanting a long-term ventricular assist device (eg, Heart Mate II, Heart Mate III) as a target therapy or bridge therapy to other therapies
- Patient in whom palliative management has been previously defined for his/her cardiac condition (i.e. Heart failure) or for another associated medical condition (cancer, chronic obstructive pulmonary disease (COPD), etc.)
- Patient who is discharged or referred to another institution within 48 hours of hospital stay
- Inability to comply with programmed follow-ups (telephone or in person) due to social, personal or other conditions considered by the principal investigator
- Life expectancy less than 6 months given a condition other than heart failure (Cancer, COPD, etc.)
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Characteristics of population with diagnosis of heart failure in America Baseline, at Month 1, Month 6 and Month 12 Clinical and paraclinical characteristics of patients with heart failure
- Secondary Outcome Measures
Name Time Method Outpatient management of heart failure Baseline and at Month 12 Describe the ambulatory/outpatient management of patients with heart failure
Differences among proportion of rehospitalization and heart failure mortality considering implementation of optimal medical treatment Baseline, Month 1, Month 6 and Month 12 Describe the differences in the proportion of rehospitalization, hospital and outpatient mortality, taking into account the implementation of optimal or recommended medical treatment in national and international guidelines
Cumulative heart failure survival and readmission-free survival Baseline, Month 1, Month 6 and Month 12 Evaluate cumulative survival and heart failure readmission-free survival
In-hospital management of acutely decompensated heart failure Baseline Describe the in-hospital management of patients with acutely decompensated heart failure
Relation between outpatient pharmacological treatment with proportion of hospitalization and mortality at 1, 6, 12 months after hospital discharge Month 1, Month 6 and Month 12 Relate outpatient pharmacological treatment with the proportion of hospitalization and mortality at 1, 6 and 12 months after hospital discharge.
Differences among proportion of rehospitalization and heart failure mortality considering sociodemographic characteristics Baseline Describe the differences in the proportion of rehospitalization, hospital and outpatient mortality, taking into account different demographic characteristics: gender, age, comorbidities, among others
Clinical and hemodynamic presentation of acutely decompensated heart failure Baseline Describe the clinical and hemodynamic presentation of patients with acute decompensated heart failure
Proportion of in-hospital mortality related with acute decompensation of heart failure Baseline Determine the proportion of in-hospital mortality related with acute decompensation of heart failure
Relation between hemodynamic profile of decompensation with proportion of mortality at 1, 6, 12 months after hospital discharge Baseline, Month 1, Month 6 and Month 12 Relate the hemodynamic profile of decompensation with the proportion of in-hospital and ambulatory mortality at 1, 6 and 12 months after hospital discharge.
Differences among hospitalization and heart failure mortality considering the use of cardiac devices Baseline, Month 1, Month 6 and Month 12 Describe the differences between hospitalization and outpatient mortality taking into account the use of cardiac devices (cardiac resynchronization and/or implantable cardiac defibrillator) recommended in international guidelines
Relation between outpatient treatment of heart failure with proportion of hospitalization and mortality Baseline and at Month 12 Relate outpatient pharmacological treatment with the proportion of hospitalization and mortality
Proportion of rehospitalization at 1, 6, 12 months after hospital discharge Month 1, Month 6 and Month 12 Determine the proportion of rehospitalization at 1, 6 and 12 months after hospital discharge
Relation between in-hospital pharmacological treatment with mortality at 1, 6, 12 months after hospital discharge Month 1, Month 6 and Month 12 Relate hospital pharmacological treatment with inpatient and outpatient mortality at 1, 6 and 12 months after hospital discharge.
Proportion of mortality at 1, 6, 12 months after hospital discharge Month 1, Month 6 and Month 12 Determine the proportion of mortality at 1, 6 and 12 months after hospital discharge
Relation between in-hospital pharmacological treatment with proportion of readmissions at 1, 6, 12 months after hospital discharge Month 1, Month 6 and Month 12 Relate hospital pharmacological treatment with the proportion of readmissions at 1, 6 and 12 months after hospital discharge.
Differences among heart failure treatment considering sociodemographic characteristics Baseline Describe the differences among inpatient and outpatient treatment taking into account different demographic characteristics such as: gender, age, comorbidities, among others
Trial Locations
- Locations (119)
University of Texas Southwestern Medical Center
🇺🇸Dallas, Texas, United States
Hospital Luis Vernaza
🇪🇨Guayaquil, Guayas, Ecuador
Hospital Clínica Kennedy
🇪🇨Guayaquil, Guayas, Ecuador
Sanatorio Modelo Quilmes
🇦🇷Quilmes, Buenos Aires, Argentina
Sanatorio de la Trinidad Quilmes y Centro Gallego
🇦🇷Quilmes, Buenos Aires, Argentina
Establecimiento Asistencial Gobernador Centeno
🇦🇷Santa Rosa, La Pampa, Argentina
Clinica Avidanti S.A.S
🇨🇴Ibagué, Tolima, Colombia
Hospital Provincial Clínico Quirúrgico Docente Manuel Ascunce Domenech
🇨🇺Camagüey, Cuba
Sociedad Cardiológica Colombiana S.A.S.
🇨🇴Villavicencio, Colombia
Hospital San Vicente de Paúl
🇨🇷Heredia, Costa Rica
Instituto de Cardiología y Cirugía Cardiovascular
🇨🇺La Habana, Departamento Occidental, Cuba
Hospital Provincial Saturnino Lora
🇨🇺Santiago de Cuba, Cuba
Clínica Universitaria Unión Médica del Norte
🇩🇴Santiago De Los Caballeros, Santiago, Dominican Republic
Hospital Roosevelt
🇬🇹Ciudad de Guatemala, Guatemala
Christus Muguerza Hospital Alta Especialidad
🇲🇽Monterrey, Nuevo León, Mexico
Centenario Hospital Miguel Hidalgo
🇲🇽Aguascalientes, Mexico
Sanatorio Italiano
🇵🇾Asunción, Paraguay
IVSS Hospital Dr. Rafael Calles Sierra
🇻🇪Punto Fijo, Venezuela
Sanatorio Santa Clara Talar
🇦🇷Buenos Aires, Argentina
Sociedad Clínica Iberoamericana
🇨🇴Barranquilla, Atlantico, Colombia
Hospicardio
🇨🇴Montería, Córdoba, Colombia
Hospital Clínica Bíblica
🇨🇷San José, Costa Rica
Hospital General de Agudos Carlos G. Durand
🇦🇷Buenos Aires, Argentina
Atimed C.A
🇻🇪Cumaná, Venezuela
Instituto Autónomo Hospital Universitario de Los Andes
🇻🇪Mérida, Venezuela
Unimedic Ips
🇨🇴Pasto, Nariño, Colombia
Hospital Carlos R Huembes/Clinica Plaza España/Clinica Centro Medico Juigalpa
🇳🇮Managua, Nicaragua
Cardiocentro Santiago de Cuba
🇨🇺Santiago de Cuba, Cuba
North Shore University Hospital, Nothwell Health
🇺🇸Manhasset, New York, United States
Instituto Cardiovascular del Rosario
🇦🇷Rosario, Santa Fé, Argentina
Instituto de Cardiología Juana Francisca Cabral Bolívar
🇦🇷Corrientes, Argentina
Hospital Privado Universitario de Córdoba
🇦🇷Córdoba, Argentina
Instituto Modelo de Cardiología Privado SRL
🇦🇷Córdoba, Argentina
Hospital San Bernardo
🇦🇷Salta, Argentina
Hospital Italiano de Córdoba
🇦🇷Córdoba, Argentina
Clinica Vrsalovic / Clinica del Angelo
🇦🇷Formosa, Argentina
Clínica El Castaño - CIMAC
🇦🇷San Juan, Argentina
Caja Petrolera de Salud
🇧🇴Santa Cruz de la Sierra, Bolivia
Hospital Descentralizado Dr. Guillermo Rawson
🇦🇷San Juan, Argentina
Hospital Público Dr. Marcial V. Quiroga
🇦🇷San Juan, Argentina
Hospital Universitario Japonés
🇧🇴Santa Cruz de la Sierra, Santa Cruz, Bolivia
Clínica CERHU / Hospital Central Ramón Carrillo
🇦🇷San Luis, Argentina
Instituto Nacional del Tórax
🇨🇱Santiago, Chile
Clinica Cardio VID
🇨🇴Medellín, Antioquia, Colombia
Clínica del Occidente
🇨🇴Bogotá, Cundinamarca, Colombia
Instituto Todo Por El Corazón
🇨🇴Manizales, Caldas, Colombia
Fundación Cardioinfantil
🇨🇴Bogotá, Cundinamarca, Colombia
Clínica Medilaser Florencia
🇨🇴Florencia, Caquetá, Colombia
Fundación Santa Fé de Bogotá
🇨🇴Bogotá, Cundinamarca, Colombia
Clínica los Rosales S.A. - Centro Médico para el Corazón
🇨🇴Pereira, Risaralda, Colombia
Instituto Grupsalud
🇨🇴Santa Marta, Magdalena, Colombia
Fundación Valle del Lili
🇨🇴Santiago de Cali, Valle, Colombia
Clínica General del Norte
🇨🇴Barranquilla, Colombia
Fundación Cardiovascular de Colombia
🇨🇴Floridablanca, Santander, Colombia
Hospital Santa Clara
🇨🇴Bogotá, Colombia
Hospital Clinico Quirurgico Docente Ivan Portuondo
🇨🇺San Antonio de los Baños, Artemisa, Cuba
Hospital México, CCSS
🇨🇷San José, Costa Rica
Hospital Provincial Clínico Quirúrgico Docente Carlos Manuel De Céspedes
🇨🇺Bayamo, Cuba
Hospital General Orlando Pantoja Tamayo
🇨🇺Contramaestre, Cuba
Hospital Provincial Dr. Antonio Luaces Iraola
🇨🇺Ciego De Ávila, Cuba
Hospital Clínico Quirúrgico Docente Dr. Enrique Cabrera
🇨🇺La Habana, Cuba
Hospital Clínico Quirúrgico Docente Calixto García Íñiguez
🇨🇺La Habana, Cuba
Hospital Provincial Camilo Cienfuegos
🇨🇺La Habana, Cuba
Hospital Clínico Quirúrgico Docente Héroes Del Baire
🇨🇺Nueva Gerona, Cuba
Hospital General Docente Dr. Ernesto Guevara De La Serna
🇨🇺Las Tunas, Cuba
Hospital Provincial Docente Marting Chang Puga
🇨🇺Nuevitas, Cuba
Hospital Provincial Clínico Quirúrgico Docente Cmte. Faustino Pérez
🇨🇺Matanzas, Cuba
Hospital Provincial Clínico Quirúrgico Docente Abel Santamaría
🇨🇺Pinar Del Río, Cuba
Hospital Provincial Clinico Quirurgico Docente Leon Cuervo Rubio
🇨🇺Pinar del Rio, Cuba
Centro Médico Siglo 21
🇩🇴San Francisco de Macoris, Dominican Republic
Hospital Metropolitano de Santiago Homs
🇩🇴Santiago De Los Caballeros, Dominican Republic
Hospital Regional Presidente Estrella Ureña
🇩🇴Santiago De Los Caballeros, Santiago, Dominican Republic
Centro Médico de Especialidades Ameds
🇪🇨Manta, Manabí, Ecuador
HOSPICOR
🇪🇨Manta, Manabí, Ecuador
Hospital Metropolitano
🇪🇨Quito, Pichincha, Ecuador
Centro Cardiológico A.C.I
🇪🇨Portoviejo, Manabí, Ecuador
Clinica Jesús De Nazareth / Hospital San Marcos
🇪🇨Machala, Ecuador
Hospital José Carrasco Arteaga / Instituto ecuatoriano de seguridad social
🇪🇨Cuenca, Ecuador
Clínica de Cardiología y Ortopedia CCO
🇸🇻San Salvador, El Salvador
Hospital General EISS Portoviejo
🇪🇨Portoviejo, Ecuador
Centro De Diagnóstico Y Tratamiento De Enfermedades (Cdt) Cardiovasculares Cardioheredia
🇪🇨Samborondón, Ecuador
Clínica del Corazón Sinusal
🇸🇻San Salvador, El Salvador
Instituto Salvadoreño del Seguro Social
🇸🇻San Salvador, El Salvador
Cardiocentro Chimaltenango
🇬🇹Chimaltenango, Guatemala
Hospital Regional de Zacapa
🇬🇹Zacapa, Guatemala
Hospital General San Juan de Dios
🇬🇹Ciudad de Guatemala, Guatemala
Clínicas HART y Hospital Regional de Occidente
🇬🇹Quetzaltenango, Guatemala
Cardio Medical Center
🇭🇳Tegucigalpa, Francisco Morazán, Honduras
Instituto Nacional Cardiopulmonar
🇭🇳Tegucigalpa, Francisco Morazán, Honduras
Hospital Español. Sociedad de Beneficencia Española I.A.P
🇲🇽Ciudad de México, Mexico
Heart institute of the caribbean
🇯🇲Kingston, Jamaica
Instituto Nacional de Cardiología Ignacio Chávez
🇲🇽Ciudad de México, Mexico
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubiran
🇲🇽Ciudad de México, Mexico
TecSalud, Escuela de Medicina y Ciencias de la Salud del ITESM
🇲🇽Monterrey, Mexico
Servicios Profesionales Del Sagrado Corazón De Jesús S.C.
🇲🇽Ciudad de México, Mexico
Hospital Santo Tomás
🇵🇦Ciudad de Panamá, Panama
Hospital Nacional de Itaugua
🇵🇾Itauguá, Central, Paraguay
Hospital Central - Instituto de Previsión Social
🇵🇾Asunción, Paraguay
Instituto Nacional de Cardiología "Prof. Dr. Juan A. Catonni"
🇵🇾Asunción, Paraguay
Instituto Cardiovascular del Sanatorio Migone
🇵🇾Asunción, Paraguay
Sanatorio Adventista de Asunción
🇵🇾Asunción, Paraguay
Clinicor Estudios Cardiológicos
🇵🇾Concepción, Paraguay
Hospital de Clínicas - Facultad de ciencias médicas
🇵🇾San Lorenzo, Paraguay
Hospital María Auxiliadora
🇵🇪Lima, Peru
Luis Heysen Inchaustegui - ESSALUD
🇵🇪Chiclayo, Peru
Hospital Nacional Daniel Alcides Carrión
🇵🇪Lima, Peru
Instituto Cardiovascular Clinicor Norte
🇵🇪Lima, Peru
Hospital Nacional Arzobispo Loayza
🇵🇪Lima, Peru
Unidad Cardiovascular Ferrer
🇻🇪Puerto Cabello, Carabobo, Venezuela
Thorax Centrum Paramaribo /Academic Hospital Paramaribo
🇸🇷Paramaribo, Suriname
Hospital de Clínicas Doctor Manuel Quintela
🇺🇾Montevideo, Uruguay
Médica Uruguaya
🇺🇾Montevideo, Uruguay
Hospital III EsSalud Chimbote
🇵🇪Chimbote, Áncash, Peru
Clínica Chilemex
🇻🇪Puerto Ordaz, Bolívar, Venezuela
ASCARDIO
🇻🇪Barquisimeto, Lara, Venezuela
Centro Policlínico Valencia
🇻🇪Valencia, Carabobo, Venezuela
Centro Clinico Santa Rosa
🇻🇪Cumaná, Sucre, Venezuela
Cardiología Tropical Azoátegui
🇻🇪Anzoátegui, Venezuela
Unicor/Funvic
🇻🇪Valencia, Venezuela