Assessment of Heart Failure (HF) At-Home Management Solution ADI Cardio Pulmonary Monitoring System (CPM)
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 2
- 试验地点
- 2
- 主要终点
- Interoperability of CPM system
研究概览
简要总结
This study is meant primarily to assess the deployment of the ADI CPM System in a clinical setting and determine interoperability of the CPM System within existing care pathways for patients with CHF. In this initial study the CPM System will not be used to determine or support clinical decision making however post deployment the clinical study team will review patient HF events and changes in treatment during the course of the deployment and compare to the data generated by the CPM System during the study to determine the accuracy of the patient generated data as a basis for designing a more comprehensive "interventional study" to determine clinical and financial efficacy of the CPM System.
详细描述
Patients will be recruited and begin the study as they are identified and consent to the study. Recruiting will end either by a designated date set at the initiation of the study or when 30 patients have been enrolled in the study.
The duration of the study for each patient will be approximately 60 days beginning with the baseline/initial visit and concluding 30 days after the patient has completed device use. The patient will use the device given to the once a day during the first 60 days the study and following that time patient records will be reviewed retrospectively for CHF events for the 60 days plus an additional 30 days after their last measurement. Each patient will also receive weekly calls from the research team to check in on device functionality and assure adherence to the protocol.
At visit 1, the start of the study, baseline information will be collected, importantly including accurate weight and notes about congestion and fluid buildup. The study will be re-described to the participant. The research team will then set up the device for the individual patient by making adjustments (as needed) to address patient specific anatomy), ensuring that the sensors are all contacting the appropriate chest areas, and confirming the measurements on the CPM Web application. The patient will be shown how to apply and replace the adhesive on the device, how to position the device, how to take a measurement with the device, and how to store the device on the Base Station. The trained provider will then register the baseline reading for the CHF device using the CHF Mobile App.
Informational materials about using the device, refreshing adhesives, and meanings of LEDs and chimes on the device will also be given to the patient. The patient will be instructed to follow the normal regimen prescribed by their by their physician, but to add taking a measurement with their CPM at the same time each day (preferably when they first wake up).
Between visits, caregivers will not have any access to the data being collected on the CHF Device. They should perform their usual standard of care on these patients. Participants will also receive calls from the research team to check in about the progress of the study (i.e., if protocols are being followed correctly, if the CPM device is working properly, and if adherence is satisfactory. This check-in, conversation topics should focus on any ease-of-use issues and address any compliance-based issues.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
盲法说明
The participant, the investigator, and the outcomes assessor will all be masked to the device data during the trial.
入排标准
- 年龄范围
- 18 Years 至 60 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •one or more of the following
- •NYHA Class III-IV HF
- •NYHA Class II HF patients with elevated BNP levels (BNP>100 pg per mL) NYHA Class II HF patients with elevated NT-proBNP levels (NT-proBNP>400 pg per mL)
- •HF Patients with at least one Worsening HF event (in /out-patient) in past 12 months
- •HF patients with Acute Renal Failure or Chronic Kidney Disease
- •HF patients with Chronic Obstructive Pulmonary Disease (COPD)
- •HF patients currently on 40 mg or more of Furosemide /
排除标准
- •Under age 60
- •End Stage Renal Disease
- •Patients with severe COPD (GOLD stage III or IV)
- •Limited mobility preventing application of device
- •Cognitive impairments that would limit the application and proper use of the device
- •Skin allergies or skin sensitivities to silicone-based adhesives
- •Pregnancy
- •Skin breakdown on the left chest or breast area
- •Not willing to shave chest hair if needed to apply device
- •No cellular coverage (Patient's Home)
研究组 & 干预措施
Study Group
The Study group will use the CPM device once daily (in the morning) for 60 days.
干预措施: CPM Device (Device)
结局指标
主要结局
Interoperability of CPM system
时间窗: 60 days
patient satisfaction with system obtained through survey questions; ease of use, impact and satisfaction; scale of 1-7 used with 1 being negative and 7 being positive, impact on daily life obtained though Minnesota Living with Heart Failure questionnaire
次要结局
- Correlation of device data and clinical outcomes(90 days)
