Comprehensive Program for Disease Management in Heart Failure Patients in the Community
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,360
- 试验地点
- 1
- 主要终点
- hospital admissions for heart failure or all-cause mortality
研究概览
简要总结
The purpose of this study is to determine whether a nurse-led, comprehensive disease management program is effective in reducing recurrent hospital admissions and deaths in community dwelling patients with moderate to severe heart failure.
详细描述
Heart failure remains a significant cause of death, in spite of recent declines in overall mortality from cardiovascular disease. Heart failure is associated with increasing costs for healthcare, mainly for recurrent hospital admissions. Disease management programs aimed to improve patients outcome while containing healthcare costs,were employed in heart failure patients with varying results. Such programs contain various components, including patient education and empowerment, monitoring patients' adherence to therapy, telemonitoring of vital parameters, etc. Designated heart failure clinics were also employed in care given to these patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients with NYHA-Stage III-IV heart failure recruited in the community;
- •Adult patients with NYHA-Stage II-IV heart failure recruited after hospital admission for decompensated heart failure
排除标准
- •Other severe disease (e.g. end stage renal disease, metastatic cancer); bedridden or severely compromised functional status due to other diseases; drug or alcohol abuse; Severe cognitive impairment; People unconnected to telephone
研究组 & 干预措施
Disease Management
Disease management led by nurse specialists in regional Heart Failure Clinics and a national Call Center. Tele-Monitoring of body weight, pulse rate and blood pressure is performed at participants' homes.
干预措施: Disease Management and Tele-Monitoring (Other)
Usual care
Management of heart failure is provided by primary practitioners and consultant cardiologists
干预措施: Usual Care (Other)
结局指标
主要结局
hospital admissions for heart failure or all-cause mortality
时间窗: 5 years
次要结局
- Health-related Quality of Life;(5 years)
- Functional status(5 years)
研究者
Ofra Kalter-Leibovici MD
Dr. Ofra Kalter-Leibovici
Maccabi Healthcare Services, Israel