Variations in Care: Comparing Heart Failure Care Transition Intervention Effects
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,437
- 试验地点
- 6
- 主要终点
- 180 day rehospitalization rate
研究概览
简要总结
The purpose of this study is to compare the effect of implementing wireless remote monitoring combined with structured telephone monitoring, versus current care, on variation in rehospitalization among older patients hospitalized with heart failure at six medical centers.
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
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients hospitalized at any of the six medical centers who are being actively treated for heart failure.
排除标准
- •patients who have previously received a transplant, are being evaluated for a transplant, or who are on the wait list for a transplant,
- •patients who are enrolled or enrolling in hospice, or are expected to expire shortly after discharge,
- •patients with dementia,
- •patients who are admitted from a skilled nursing facility (SNF), or who we anticipate will be discharged to a long term stay in a SNF,
- •patients who do not have a working land line phone or reliable cell service,
- •patients on chronic dialysis,
- •patients who cannot identify a usual source of care (free clinic is acceptable) and who will not be assigned a provider upon discharge,
- •patients with the following cardiovascular conditions: patients with valvular disorders requiring surgical intervention (except for those with incidental valvular disease, who will be included), acute myocardial infarction (except for those with demand ischemia, who will be included), percutaneous coronary intervention
- •patients expected to enroll in hospice or expire after discharge,
- •patients who are unable to use the intervention equipment (e.g., unable to stand on the weight scale), or who are otherwise unable to comply with the intervention
研究组 & 干预措施
Current Care
Patients will receive the current care provided to heart failure patients at each of the study sites
Care Transition Intervention
Care transition intervention beginning prior to discharge and through six months post-discharge.
干预措施: Structured Telephone / Remote Outpatient Monitoring (Other)
结局指标
主要结局
180 day rehospitalization rate
时间窗: at 180 days post-discharge
Patient self-report in response to telephone survey, combined with administrative claims data of rehospitalization for any cause
次要结局
- 30 day rehospitalization rate(at 30 days post-discharge)
- 7 day mortality rate(within 7 days post-discharge)
- Change in quality of Life(as an inpatient, within 7 days post-discharge, and at 30 and 180 days post-discharge)
- 30 day mortality rate(at 30 days post-discharge)
- 180 day mortality rate(at 180 days post-discharge)
- 7 day rehospitalization rate(within 7 days post-discharge)
研究者
Michael Ong
Associate Professor
University of California, Los Angeles