A pilot ranDomisEd trial of nurSe-led patIent follow-up using a diGital platform to reduce re-admissioNs after an acute presentation with Heart Failure. (DESIGN-HF)

Not Applicable

• Conditions: Heart Failure; Public health; Cardiovascular - Other cardiovascular diseases; Public Health - Health service research

• Registration Number: ACTRN12619000055101
• Lead Sponsor: Flinders University of South Australia

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-01-15
• Study Completion: 2019-07-25
• Last Update Posted: 22 October 2019

Recruitment & Eligibility

• Status: Stopped early
• Sex: All
• Target Recruitment: 7

Inclusion Criteria

1. Primary diagnosis of heart failure (HFREF or HFPEF) for whom transition of care nursing support is planned.
2. Documented ability to interact with an electronic platform and confirmed regular access to device and internet/wifi.
3. Aged >18 years

Exclusion Criteria

1. Inability or unwillingness to provide informed consent.
2. Dementia or significant cognitive impairment of any cause (eg including delirium, hypoxia) as per judgement of clinical care provider(s).
3. Life-expectancy of <12 months, as determined by treating specialist.
4. Inability to understand English or sufficient visual impairment such as would be unable to understand instructions within the platform, unless sufficient reliable access to help is available eg next of kin.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary endpoint of this study will be defined as re-admission to hospital for heart failure, evidenced by breathlessness and clinical signs of volume overload (elevated JVP, crepitations in lung fields, or SOA) together with an elevated NT-proBNP, or via admission to hospital with ICD-10AM code of I50.X in any of the top 5 diagnosis positions. This outcome will be sourced from hospital records and databases. [12 Months post hospital discharge];Evaluation of cost-effectiveness: HF specialist nursing care utilisation will be measured and compared between standard care and intervention arms over the length of the follow-up. Utilisation of nursing care will be assessed by logging the time needed by the HF nurse on each participant including; face to face, telephone, and online review of patient entered data. The HF nurse will keep a log of all time spent engaged in nursing care for each participant. <br>[12 Months post hospital discharge]