Virtual Visits in Heart Failure Care Transitions

NCT03675828 | Completed

• 1 other identifier: 18-651
• Study Type: interventional
• Target: 116
• Locations: 1 country
• Sites: 1

Brief Summary

This study evaluates the use of virtual visits in the post-discharge care of patients with heart failure. Participants admitted to the hospital with a primary diagnosis of heart failure will be randomized at discharge to either a virtual visit or outpatient visit for their 7-day post discharge follow up visit.

Conditions

Heart Failure

Keywords

Heart Failure; Distance Health; Virtual Health

Outcome Measures

Primary Outcomes (1)

• Proportion of completed post discharge visits via virtual visit or in outpatient setting

  Proportion of patients who complete 7-day post discharge appointment (virtually or in-person)

  12 months

Secondary Outcomes (1)

• 45-day unplanned readmission and death measures stratified by visit method (virtually or in-person)

  12 months

Study Arms (2)

Virtual Visit

EXPERIMENTAL

In this arm, the 7-day post discharge visit will be completed by a scheduled virtual visit with a member of the study team using the Cleveland Clinic Online Express Care application on a computer or a tablet/phone.

Behavioral: Virtual Visit

Outpatient Clinic

NO INTERVENTION

In this arm, the 7-day post discharge visit will be completed by a standard-of-care, in-person outpatient visit with a member of the study team in the heart failure clinic.

Interventions

Virtual Visit BEHAVIORAL

The Cleveland Clinic Express Care Online application will be used in this intervention. The subjects will have a virtual consult with a clinician from the study team that will mirror an experience had at an outpatient post-discharge visit, including review of systems and medications.

Virtual Visit

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Hospitalized for primary diagnosis of HF;
• Anticipated to be discharged home;
• Agreeable to longitudinal post-discharge care at Cleveland Clinic Main Campus in the first few weeks after hospital discharge;
• Patient or an individual in their social support network has the ability (equipment and connectivity) to do a virtual visit after hospital discharge;

You may not qualify if:

• Being transferred to another hospital, or being discharged to an inpatient facility or nursing home;
• Being discharged to hospice;
• Subject currently enrolled in an interventional research study that requires an in-person clinical visit within 7 days post-discharge.

Sponsors & Collaborators

• The Cleveland Clinic: lead

Study Sites (1)

Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

Related Publications (1)

• Gorodeski EZ, Moennich LA, Riaz H, Jehi L, Young JB, Tang WHW. Virtual Versus In-Person Visits and Appointment No-Show Rates in Heart Failure Care Transitions. Circ Heart Fail. 2020 Aug;13(8):e007119. doi: 10.1161/CIRCHEARTFAILURE.120.007119. Epub 2020 Jul 30. No abstract available.

  PMID: 32762457 DERIVED

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Study Officials

• Wai Hong Wilson Tang, MD

  The Cleveland Clinic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 27, 2018
• First Posted: September 18, 2018
• Study Start: August 7, 2018
• Primary Completion: August 28, 2019
• Study Completion: August 28, 2019
• Last Updated: September 25, 2019

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)