Implementering af Cardiostafet tværsektoriel Samarbejdsmodel Med Telemedicin for Udsatte Patienter Med Hjertesvigt Som Ikke Kan Deltage i Hjerterehabilitering
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Days out-of-hospital
研究概览
简要总结
The goal of this observational study is to explore the potential of implementing a telemedicine-based cross-sector collaboration model to manage patients with frequent admissions with decompensated heart failure. The main question(s) it aims to answer are:
- Characterization of conditions that make these patients vulnerable
- Description of key-elements that makes possible to manage the patients with the cardio-share model
Participants are:
- Patients - will be helped to use the available telemedicine tools
- General Practitioners - will be offered teleconferences with cardiologists (chat and video) on demand
- Community health workers (caregivers at the patient home or in elderly home) - will be guided to assist the patients to use the available telemedicine tools Researchers will compare readmission rates (primary outcome) and quality of life of patients where the cardio-share management model is successfully implemented one year before and after the implementation.
详细描述
Consecutive patients admitted from 01.01.2024 to one single site (University Hospital Bispebjerg and Frederiksberg) with acute decompensated heart failure or with atrial fibrillation treated with loop-diuretics will be included in the project if they had one emergency admission with decompensated heart condition within the prior 3 months or two or more within the prior 6 months.
During their hospital admission patients will be helped to use the currently available telemedicine tools, which is "Min Sundhedsdplatformen Assistent" (MinSP-Ass.), which is the Danish version of the Care Companion-extension of MyChart application by EPIC, which is the platform used in East Denmark. Help is provided by the nurses in the ward, with assistance by medicine students working on a pay-per-hour basis.
The cardio-share model briefly If it is planned or the patient already is receiving home-care assistance (either at home or at an elderly home), the health-care workers will be contacted to ensure that they can assist the patient to use MinSP-Ass.
Likewise, the general practice where the patient belongs to, will be contacted to offer teleconsultation support by the hospital-based cardiologist. This support is primarily by written messages, and by teleconferences on demand (from Primary Care) before patient discharge, in both cases using MedCom standards, which is the current cross-sector communication platform in Denmark.
Through MinSP-Ass. patients can receive educational material and can report vital measurements and symptoms.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients admitted with acute decompensated heart failure AND:
- •with previous admission with decompensated heart failure in the three-month period prior to the current admission or
- •who have two or more admissions in the 6 months prior to the current admission.
排除标准
- •Patients who
- •have refused to share their data for health-quality projects
- •have already ongoing telemedicine management for heart failure
结局指标
主要结局
Days out-of-hospital
时间窗: six months
Number of days out of hospital from date of discharge for the index event until the next re-admission with acute decompensated heart failure
次要结局
- Quality of care - Medicines(six months)
- Symptom-based quality of care(six months)
- Number of readmissions(six months)
研究者
Helena DOMINGUEZ
Consultant, Associate Professor
University Hospital Bispebjerg and Frederiksberg