Virtual Visits in Heart Failure Care Transitions
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 116
- 试验地点
- 2
- 主要终点
- Proportion of completed post discharge visits via virtual visit or in outpatient setting
研究概览
简要总结
This study evaluates the use of virtual visits in the post-discharge care of patients with heart failure. Participants admitted to the hospital with a primary diagnosis of heart failure will be randomized at discharge to either a virtual visit or outpatient visit for their 7-day post discharge follow up visit.
详细描述
Published guidelines recommend that patients being discharged home after hospitalization for HF should be offered a 7-day post-discharge outpatient clinic visit as a way to increase engagement with care and reduce risk of poor outcomes. Unfortunately no-show rates for the 7-day post-discharge outpatient visit in this population are high, suggesting poor engagement. The investigators have previously observed a 76% no-show rate at the Cleveland Clinic Main Campus. This study is to evaluate whether use of 7-day post-discharge virtual visit versus in-person visit can improve adherence with post-discharge appointment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Hospitalized for primary diagnosis of HF;
- •Anticipated to be discharged home;
- •Agreeable to longitudinal post-discharge care at Cleveland Clinic Main Campus in the first few weeks after hospital discharge;
- •Patient or an individual in their social support network has the ability (equipment and connectivity) to do a virtual visit after hospital discharge;
排除标准
- •Being transferred to another hospital, or being discharged to an inpatient facility or nursing home;
- •Being discharged to hospice;
- •Subject currently enrolled in an interventional research study that requires an in-person clinical visit within 7 days post-discharge.
研究组 & 干预措施
Virtual Visit
In this arm, the 7-day post discharge visit will be completed by a scheduled virtual visit with a member of the study team using the Cleveland Clinic Online Express Care application on a computer or a tablet/phone.
干预措施: Virtual Visit (Behavioral)
Outpatient Clinic
In this arm, the 7-day post discharge visit will be completed by a standard-of-care, in-person outpatient visit with a member of the study team in the heart failure clinic.
结局指标
主要结局
Proportion of completed post discharge visits via virtual visit or in outpatient setting
时间窗: 12 months
Proportion of patients who complete 7-day post discharge appointment (virtually or in-person)
次要结局
- 45-day unplanned readmission and death measures stratified by visit method (virtually or in-person)(12 months)
研究者
Wilson Tang
Principal Investigator
The Cleveland Clinic