Evaluation of Post-operative, Nurse-based Heart Failure Care in Non-cardiac Surgery

Birgit Assmus

Status: Unknown

Conditions: Heart Failure，Congestive

Treatments: Other: Nurse-based care; Other: standard care

Study type: Interventional

Funder types: Other

Identifiers

NCT03202329

HFS-01

Details and patient eligibility

About

Patients with heart failure NYHA >= II receiving non-emergent non-cardiac in-patient surgery will be randomized to receive either standard post-operative care (surgeon has to ask actively for specialist cardiological support) or a nurse-based heart failure management (nurses provide week-day support every day after surgery, if needed together with a heart failure doctor)

Enrollment: 525 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

patients with heart failure NYHA >= II (HFrEF and HFpEF) or LVEF <= 40% non-cardiac surgery planned later than 24 hours age > 18 years written informed consent

Exclusion criteria

patients on intensive care life-expectancy < 3 months

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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525 participants in 2 patient groups

standard care

Other group

Description:

responsible surgeon has actively to ask for cardiology support (he decides whether a heart failure specialist should see the patient post-operatively)

Treatment:

Other: standard care

nurse-based care

Other group

Description:

heart failure nurses visit postoperatively every (working-) day to check fluid balance, medication, rhythm and general condition

Treatment:

Other: Nurse-based care