Efficacy of a Disease Management Program in Very Old Patients With Heart Failure
NCT01076465 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 700
Last updated 2016-04-19
Summary
The purpose of this study is to assess the efficacy of a disease management programme (DMP) for very old patients with HF and significant co-morbidity.
METHODS: A multicenter randomized trial will be conducted with 700 patients with heart failure, aged over 75 years, admitted to the acute-care units of the Geriatrics Departments in 8 hospitals. Patients will be randomly allocated to a DMP or to conventional usual-care. Randomization will be stratified by hospital and performed with concealment of the allocation list.
The DMP will be conducted by a case manager, and will include three main components:
1. patient education to improve disease' knowledge and self-care
2. monitoring of clinical status
3. therapeutic adherence. Main statistical analyses will be performed according to the intention-to-treat principle, and will use Cox regression models to examine the association of a DMP with hospital readmission, quality-of-life, and mortality over 12 months.
Conditions
- Heart Failure
- Comorbidity
- Case-manager
Interventions
- OTHER
-
Disease management program
1\. Educational intervention on management of heart failure and comorbidity to improve patient's knowledge of his/her disease and self-care 2) Monitoring of clinical status 3) Monitoring and improvement of therapeutic adherence.
- BEHAVIORAL
-
Usual care
Usual care
Sponsors & Collaborators
-
Complejo Hospitalario Universitario de Vigo
collaborator OTHER -
Universidad Autonoma de Madrid
collaborator OTHER -
Fondo de Investigacion Sanitaria
collaborator OTHER -
Hospital de Meixoeiro
lead OTHER_GOV
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-10-31
- Primary Completion
- 2013-11-30
- Completion
- 2013-11-30
Countries
- Spain
Study Locations
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