Better Effectiveness After Transition - Heart Failure
- Conditions
- Heart Failure
- Interventions
- Other: Structured Telephone / Remote Outpatient Monitoring
- Registration Number
- NCT01360203
- Lead Sponsor
- University of California, Los Angeles
- Brief Summary
The purpose of this study is to compare the effect of implementing wireless remote monitoring combined with structured telephone monitoring, versus current care, on variation in rehospitalization among older patients hospitalized with heart failure at six medical centers.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1437
- patients hospitalized at any of the six medical centers who are being actively treated for heart failure.
- patients who have previously received a transplant, are being evaluated for a transplant, or who are on the wait list for a transplant,
- patients who are enrolled or enrolling in hospice, or are expected to expire shortly after discharge,
- patients with dementia,
- patients who are admitted from a skilled nursing facility (SNF), or who we anticipate will be discharged to a long term stay in a SNF,
- patients who do not have a working land line phone or reliable cell service,
- patients on chronic dialysis,
- patients who cannot identify a usual source of care (free clinic is acceptable) and who will not be assigned a provider upon discharge,
- patients with the following cardiovascular conditions: patients with valvular disorders requiring surgical intervention (except for those with incidental valvular disease, who will be included), acute myocardial infarction (except for those with demand ischemia, who will be included), percutaneous coronary intervention
- patients expected to enroll in hospice or expire after discharge,
- patients who are unable to use the intervention equipment (e.g., unable to stand on the weight scale), or who are otherwise unable to comply with the intervention
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Care Transition Intervention Structured Telephone / Remote Outpatient Monitoring Care transition intervention beginning prior to discharge and through six months post-discharge.
- Primary Outcome Measures
Name Time Method 180 day rehospitalization rate at 180 days post-discharge Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause
- Secondary Outcome Measures
Name Time Method 30 day rehospitalization rate at 30 days post-discharge Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause
7 day mortality rate within 7 days post-discharge Mortality during the study period. Next of kin will be contacted in the event the patient has expired to verify death and date of death.
Change in quality of Life as an inpatient, within 7 days post-discharge, and at 30 and 180 days post-discharge Quality of life scores will be measured using standardized questionnaires, and data captured during enrollment will be compared with data captured during three post-discharge phone calls
30 day mortality rate at 30 days post-discharge Mortality during the study period. Next of kin will be contacted in the event the patient has expired to verify death and date of death.
180 day mortality rate at 180 days post-discharge Mortality during the study period. Next of kin will be contacted in the event the patient has expired to verify death and date of death.
7 day rehospitalization rate within 7 days post-discharge Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause
Trial Locations
- Locations (6)
University of California, Davis
🇺🇸Davis, California, United States
University of California, Irvine
🇺🇸Irvine, California, United States
University of California, San Diego
🇺🇸San Diego, California, United States
University of California, San Francisco
🇺🇸San Francisco, California, United States
University of California, Los Angeles
🇺🇸Los Angeles, California, United States
Cedars-Sinai Medical Center
🇺🇸Los Angeles, California, United States