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NCT03696875

Discharge Planning in Emergency Department for Frail Older With AHF

Status unknown NA Last updated 8 July 2019
What this trial tests

NA trial testing Multilevel Guided Discharge Planning in Acute Heart Failure in 1,260 participants. Status unknown.

Timeline
20 May 2019
Primary endpoint
20 December 2021
15 May 2022

Quick facts

Lead sponsorF. Javier Martin Sanchez
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment1,260
Start date20 May 2019
Primary completion20 December 2021
Estimated completion15 May 2022
Sites1 location across Spain

Drugs / interventions tested

Conditions studied

Sponsor

F. Javier Martin Sanchez

Who can join

70 and older, any sex, with Acute Heart Failure or Frail Elderly Syndrome. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Objectives: To demonstrate the efficacy of care transition holistic intervention (Multilevel Guided Discharge Planning, MGDP) in reducing 30-day adverse outcomes among frail older patients with acute heart failure (AHF) discharged from Emergency Departments (EDs) and to validate the results of MGDP in real life. Method: Investigators will select frail patients ≥70 years with primary diagnosis of AHF discharged from EDs. The intervention will consist of MGDP implementation: 1) checklist that includes clinical recommendations and resources activations; 2) scheduling of early visit with the specialist; 3) communication with primary care; 4) providing a written instruction sheet to patient or caregiver. Phase 1: matched-pair cluster randomized clinical trial. EDs were randomly allocated to intervention (n = 10) or control (n = 10) group. Investigators will compare the outcomes between intervention and control groups. Phase 2: a quasi-experimental study. The 20 EDs will carry out the intervention. Investigators will compare the outcomes between phase 1 and phase 2 of intervention group and between phase 1 and phase 2 of control group. The main outcome is a 30-day composite endpoint (ED revisit or hospital admission for AHF and cardiovascular death) after being discharged.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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