Evaluation of a Skilled Nursing Facility Heart Failure Disease Management Program Versus Usual Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 713
- 试验地点
- 2
- 主要终点
- Change in 60 day post SNF admission outcomes
研究概览
简要总结
Heart Failure (HF) patients discharged to Skilled Nursing Facilities have higher rehospitalization rates and mortality than patients discharged to home.
HF disease management programs have been shown to reduce rehospitalizations in community settings, no national guidelines have been set forth for Skilled Nursing Facilities (SNF).
This study will investigate the the effect of a heart failure-disease management program on the outcome of all-cause hospital readmissions, emergency room admissions and mortality for 30 days post-SNF admission using 7 component heart failure disease management program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Heart Failure is listed as the hospital discharge primary diagnosis
- •Heart Failure is listed as the hospital discharge secondary diagnosis
排除标准
- •Any life threatening condition which predicts mortality in 6 months or less
研究组 & 干预措施
Heart Failure Usual Care
SNF patients with HF will receive usual care
干预措施: Heart Failure Usual Care (Other)
Heart Failure Disease Management Program
Patients will receive personalized care to include medication titration, daily weights, symptom and activity assessment, documentation of ejection fraction, patient and caregiver education,dietary surveillance, discharge instructions and follow up visit within 7 days of SNF discharge
干预措施: Heart Failure Disease Management Program (Other)
结局指标
主要结局
Change in 60 day post SNF admission outcomes
时间窗: Up to 60 days post SNF admission
To determine the difference in the composite endpoint of 60-day all-cause hospitalization, all-cause emergency department visits and all-cause mortality between HF patients in Skilled Nursing Facilities cared for by a heart failure-disease management program vs usual care.
次要结局
- Difference in health status and self-care 60 days post SNF admission(60 days post SNF admission)
- Change in Patients living at home 60 days post-SNF admission with Heart Failure (HF)(60 days post SNF admission)
- Difference in Cost-effectiveness(Up to 60 days post SNF admission)