Variations in Care: Comparing Heart Failure Care Transition Intervention Effects

University of California, Los Angeles6 sites in 1 country1,437 target enrollmentOctober 2011

ConditionsHeart Failure

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Heart Failure
Sponsor: University of California, Los Angeles
Enrollment: 1437
Locations: 6
Primary Endpoint: 180 day rehospitalization rate
Status: Completed
Last Updated: 9 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

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.

Registry

clinicaltrials.gov

Start Date

October 2011

End Date

March 2014

Last Updated

9 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

University of California, Los Angeles

Responsible Party

Principal Investigator

Michael Ong

Associate Professor

University of California, Los Angeles

Eligibility Criteria

Inclusion Criteria

•patients hospitalized at any of the six medical centers who are being actively treated for heart failure.

Exclusion Criteria

•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

Outcomes

Primary Outcomes

180 day rehospitalization rate

Time Frame: at 180 days post-discharge

Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause

Secondary Outcomes

30 day rehospitalization rate(at 30 days post-discharge)
7 day mortality rate(within 7 days post-discharge)
Change in quality of Life(as an inpatient, within 7 days post-discharge, and at 30 and 180 days post-discharge)
30 day mortality rate(at 30 days post-discharge)
180 day mortality rate(at 180 days post-discharge)
7 day rehospitalization rate(within 7 days post-discharge)