Management of Acute Heart Failure: Contribution of Ultrasound Daily "in Bed Patient" Adjustment on Therapy With Impact Measure on re Hospital Rate During 30 Days
JECICA
MANAGEMENT OF ACUTE HEART FAILURE: THE CONTRIBUTION OF DAILY 'BEDSIDE' ULTRASOUND TO THERAPEUTIC ADJUSTMENTS, WITH MEASURED IMPACT ON 30-DAY RE-HOSPITALISATION RATES
2 other identifiers
interventional
250
1 country
2
Brief Summary
Our hypothesis: a daily bedside echocardiographic assessment, protocolized, simple and reproducible estimation of filling pressures with an evaluation of mitral inflow and the inferior vena cava, allow a more reliable estimate of the true blood volume of the patient and thus lead to a therapeutic adjustment more suitable. This therapeutic adjustment closer to patient's needs would impact fewer readmissions at 30 days and mortality, less alteration of biological parameters myocardial, kidney and liver.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable heart-failure
Started Nov 2016
Typical duration for not_applicable heart-failure
2 active sites
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
First Submitted
Initial submission to the registry
August 26, 2016
CompletedFirst Posted
Study publicly available on registry
September 8, 2016
CompletedStudy Start
First participant enrolled
November 15, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 5, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 5, 2019
CompletedMarch 12, 2026
December 1, 2018
2.6 years
August 26, 2016
March 11, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
rehospitalization
30 days
Secondary Outcomes (4)
mortality
6 months
worsening heart failure
during hospitalization
average length of stay
during hospitalization
alteration of biological parameters myocardial, kidney and liver
Hospital discharge +7 days, Hospital discharge +30 days
Study Arms (2)
JET ECHO
EXPERIMENTALTransmitral flow estimation
NO JET ECHO
NO INTERVENTIONno bedside echocardiography
Interventions
Estimation of the transmitral flow of the inferior vena cava and its variations
Eligibility Criteria
You may qualify if:
- The patient or his representative must be given free and informed consent and signed consent.
- The patient must be affiliated or beneficiary of a health insurance plan.
- The patient is available for a follow-up 6 months.
- The patient is of age or older (\>) 18.
- Patients hospitalized for acute heart failure who received at least 40mg of furosemide IV.
- Patient with impaired LVEF \<50%.
- Patient with Nt-proBNP values\> 1200pg / ml.
You may not qualify if:
- The subject takes part in another study.
- The subject is under judicial protection.
- The subject or his representative refuses to sign the consent.
- It is not possible to give the subject or his representative informed information.
- The patient is pregnant or is breastfeeding.
- The patient is already included in a surveillance program (PRADO, OSICAT).
- Patient with a mechanical or biological mitral prosthesis.
- History of mitral stenosis.
- severe valvular surgery with maturity in months (\<30 days).
- chronic renal impairment on dialysis.
- High grade AV block (AVB and BAV3 2/1).
- Hypertrophic cardiomyopathy.
- Cardiogenic shock.
- Contraindications to furosemide.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
CHU Arnaud de Villeneuve
Montpellier, 34295, France
CHU Nimes
Nîmes, 30029, France
Related Publications (1)
Ricci JE, Aguilhon S, Occean BV, Soullier C, Solecki K, Robert C, Huet F, Cornillet L, Schmutz L, Chevallier T, Akodad M, Leclercq F, Cayla G, Lattuca B, Roubille F. Impact of Daily Bedside Echocardiographic Assessment on Readmissions in Acute Heart Failure: A Randomized Clinical Trial. J Clin Med. 2022 Apr 6;11(7):2047. doi: 10.3390/jcm11072047.
PMID: 35407655RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 26, 2016
First Posted
September 8, 2016
Study Start
November 15, 2016
Primary Completion
June 5, 2019
Study Completion
June 5, 2019
Last Updated
March 12, 2026
Record last verified: 2018-12