Optimising Congestive Heart Failure Outpatient Clinic Project
OPTIMAL
1 other identifier
interventional
208
1 country
1
Brief Summary
This study examines whether a nurse monitored management program at the hospital heart failure outpatient clinic can improve quality of life in elderly patients with chronic heart failure, as compared to standard treatment in primary healthcare.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable heart-failure
Started Jan 1996
Longer than P75 for not_applicable heart-failure
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 1996
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2001
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2001
CompletedFirst Submitted
Initial submission to the registry
August 19, 2012
CompletedFirst Posted
Study publicly available on registry
August 24, 2012
CompletedAugust 24, 2012
August 1, 2012
5.4 years
August 19, 2012
August 21, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Quality of life
Nottingham health profile used for quality of life assessment
18 months
Secondary Outcomes (3)
Hospitalizations
18 months
Evaluation of heart failure medication
18 months
Mortality
18 months
Study Arms (2)
Nurse monitored heart failure program
EXPERIMENTALTo assess whether a nurse monitored management programme at the hospital outpatient clinic would improve quality of life, as compared to standard primary health care.
Standard primary health care
ACTIVE COMPARATORTo assess whether a nurse monitored management programme at the hospital outpatient clinic would improve quality of life, as compared to standard primary health care.
Interventions
Standard program for a heart failure clinic with information, education, drug titration
Standard care in primary care according to national guidelines but at the discretion of the primary care caregiver
Eligibility Criteria
You may qualify if:
- Patients 60 years of age or older
- Hospitalized with heart failure according to New York Heart Association (NYHA) class II-IV
- Left ventricular systolic dysfunction with an ejection fraction below 0.45, by echocardiography
You may not qualify if:
- An acute myocardial infarction or unstable angina pectoris within the last three months
- Valvular stenosis
- Dementia
- Severe concomitant disease
- Refusal to participate.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Karolinska Institutetlead
- Region Stockholmcollaborator
Study Sites (1)
Danderyd University Hospital Corp
Stockholm, 182 88, Sweden
Related Publications (4)
Mejhert M, Kahan T, Persson H, Edner M. Limited long term effects of a management programme for heart failure. Heart. 2004 Sep;90(9):1010-5. doi: 10.1136/hrt.2003.014407.
PMID: 15310688RESULTMejhert M, Linder-Klingsell E, Edner M, Kahan T, Persson H. Ventilatory variables are strong prognostic markers in elderly patients with heart failure. Heart. 2002 Sep;88(3):239-43. doi: 10.1136/heart.88.3.239.
PMID: 12181213RESULTMejhert M, Kahan T, Persson H, Edner M. Predicting readmissions and cardiovascular events in heart failure patients. Int J Cardiol. 2006 Apr 28;109(1):108-13. doi: 10.1016/j.ijcard.2005.07.015. Epub 2005 Oct 5.
PMID: 16213040RESULTMejhert M, Kahan T, Edner M, Persson HE. Sex differences in systolic heart failure in the elderly: the prognostic importance of left ventricular mass in women. J Womens Health (Larchmt). 2008 Apr;17(3):373-81. doi: 10.1089/jwh.2007.0487.
PMID: 18338962RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Magnus Edner, MD, PhD
Karolinska Institutet
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
August 19, 2012
First Posted
August 24, 2012
Study Start
January 1, 1996
Primary Completion
June 1, 2001
Study Completion
June 1, 2001
Last Updated
August 24, 2012
Record last verified: 2012-08