30 Days and 90 Days Heart Failure Re-Admission at Komfo Anokye Teaching Hospital

NCT07100561 | Recruiting

• 1 other identifier: KATHIRB/AP/031/25
• Study Type: interventional
• Target: 220
• Locations: 1 country
• Sites: 1

Brief Summary

In Ghana, about 88.3 per cent of cardiac admissions are due to Heart failure, making it the leading cause of admission due to heart conditions. Despite improved knowledge on heart failure and an increasing array of evidence-based guideline treatment options, there is still a significant readmission rate worldwide. This may be due to the underutilization of these evidence-based therapies or a lack of proper follow-up on these patients. Recurrent hospital admission is an independent predictor of death in heart failure. Strategies aimed at providing increased support at discharge and effective follow-up may be associated with lower readmission risk. This study aims to assess the effect of extensive post-discharge counselling and effective phone-based follow-up on the 30-day and 90-day heart failure readmission rate at a tertiary hospital in Ghana. This is a single-centre, pilot randomised controlled trial of heart failure patients admitted to the Komfo Anokye Teaching Hospital

Conditions

Heart Failure

Keywords

heart failure readmission; phone-based follow up; extensive post discharge counseling; pilot randomized control trial

Outcome Measures

Primary Outcomes (1)

• the occurrence of heart failure-related hospital readmission within 30 days and within 90 days after discharge from the index hospitalization

  the occurrence of heart failure-related hospital readmission within 30 days and within 90 days after discharge from the index hospitalization

  90 days

Secondary Outcomes (4)

• 1. Readmission rate of heart failure patients on guideline-directed heart failure medications

  90days

• Quality of life of the heart failure patients at 90 days

  90days

• All-cause mortality within 30 and 90 days

  90 days

• Caregiver burden in heart failure management

  30 days

Study Arms (2)

control/Usual Care

NO INTERVENTION

The usual care (counselling by their attending physicians and their normal outpatient reviews).

intervention arm

EXPERIMENTAL

Other: Extensive post discharge counselling and phone-based follow up

Interventions

Extensive post discharge counselling and phone-based follow up OTHER

Counselling by their attending physicians plus Extensive post-discharge counselling from a study doctor/pharmacist/a trained nurse and telephone follow-ups in addition to their normal outpatient reviews. The telephone follow-ups will be weekly for the first 30 days and then 4 weekly till day 90.

intervention arm

Eligibility Criteria

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

You may qualify if:

• · Adults Aged 18 years and above
• Diagnosed with heart failure
• NYHA Class II-IV
• Informed consent

You may not qualify if:

• · NHYA class I
• Patients who do not have access to a mobile phone

Sponsors & Collaborators

• Komfo Anokye Teaching Hospital: lead

Study Sites (1)

Komfo Anokye Teaching Hospital

Kumasi, Ashanti Region, Ghana

RECRUITING

MeSH Terms

Conditions

Heart Failure

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases

Central Study Contacts

SOLOMON GYABAAH

CONTACT

+233265763129; solomongyabaah53@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 1, 2025
• First Posted: August 3, 2025
• Study Start: July 14, 2025
• Primary Completion (Estimated): December 31, 2027
• Study Completion (Estimated): December 31, 2027
• Last Updated: September 10, 2026

Record last verified: 2026-08

Locations

GH (1)