Heart Failure Management Program Versus Usual Care

University of Colorado Denver (CU Denver)

Status: Completed

Conditions: Cardiac Failure; Congestive Heart Failure

Treatments: Other: Heart Failure Disease Management Program; Other: Heart Failure Usual Care

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01822912

14-0006

R01HL113387 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Heart Failure (HF) patients discharged to Skilled Nursing Facilities have higher rehospitalization rates and mortality than patients discharged to home.

HF disease management programs have been shown to reduce rehospitalizations in community settings, no national guidelines have been set forth for Skilled Nursing Facilities (SNF).

This study will investigate the the effect of a heart failure-disease management program on the outcome of all-cause hospital readmissions, emergency room admissions and mortality for 30 days post-SNF admission using 7 component heart failure disease management program.

Enrollment: 713 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Heart Failure is listed as the hospital discharge primary diagnosis
• Heart Failure is listed as the hospital discharge secondary diagnosis

Exclusion criteria

• Any life threatening condition which predicts mortality in 6 months or less

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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713 participants in 2 patient groups, including a placebo group

Heart Failure Disease Management Program

Active Comparator group

Description:

Patients will receive personalized care to include medication titration, daily weights, symptom and activity assessment, documentation of ejection fraction, patient and caregiver education,dietary surveillance, discharge instructions and follow up visit within 7 days of SNF discharge

Treatment:

Other: Heart Failure Disease Management Program

Heart Failure Usual Care

Placebo Comparator group

Description:

SNF patients with HF will receive usual care

Treatment:

Other: Heart Failure Usual Care