30 Days and 90 Days Heart Failure Re-Admission at Komfo Anokye Teaching Hospital (HeFRA)

Komfo Anokye Teaching Hospital

Status: Enrolling

Conditions: Heart Failure

Treatments: Other: Extensive post discharge counselling and phone-based follow up

Study type: Interventional

Funder types: Other

Identifiers

NCT07100561

KATHIRB/AP/031/25

Details and patient eligibility

About

In Ghana, about 88.3 per cent of cardiac admissions are due to Heart failure, making it the leading cause of admission due to heart conditions. Despite improved knowledge on heart failure and an increasing array of evidence-based guideline treatment options, there is still a significant readmission rate worldwide. This may be due to the underutilization of these evidence-based therapies or a lack of proper follow-up on these patients. Recurrent hospital admission is an independent predictor of death in heart failure. Strategies aimed at providing increased support at discharge and effective follow-up may be associated with lower readmission risk. This study aims to assess the effect of extensive post-discharge counselling and effective phone-based follow-up on the 30-day and 90-day heart failure readmission rate at a tertiary hospital in Ghana. This is a single-centre, pilot randomised controlled trial of heart failure patients admitted to the Komfo Anokye Teaching Hospital

Enrollment: 150 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• · Adults Aged 18 years and above

  • Diagnosed with heart failure
  • NYHA Class II-IV
  • Informed consent

Exclusion criteria

• · NHYA class I

  • Patients who do not have access to a mobile phone

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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150 participants in 2 patient groups

control/Usual Care

No Intervention group

Description:

The usual care (counselling by their attending physicians and their normal outpatient reviews).

intervention arm

Experimental group

Treatment:

Other: Extensive post discharge counselling and phone-based follow up