BNP Guided Care in Addition to Multidisciplinary Care
Study Details
Study Description
Brief Summary
HF is associated with repeated hospitalisations and poor prognosis.The aim of this study is to investigate whether BNP-guided care (BGC) in addition to multidisciplinary management(MM) improves outcome compared to HNC alone or usual care (UC) for decompensated HF patients after discharge.
Patients hospitalised with cardiac decompensation in 9 Viennese hospitals are randomised to BGC, MM alone, or UC. MM includes 2 consultations of a heart failure (HF) specialist 10 days and 2 months after discharge for recommending medical optimisation and care by a specialised HF nurse including 4 home visits and telephone contact. In addition, BGC includes intensified increase of medical treatment during repeated follow-up visits in a HF clinic in patients with an Nt-BNP level above 2200pg/ml at discharge.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Outcome Measures
Primary Outcome Measures
- Heart failure rehospitalisation rate; []
- combined endpoint death or heart failure rehospitalisation; []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Clinical signs and symptoms of cardiac decompensation during the present hospitalisation
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NYHA class III or IV at time of admission
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Cardiothoracic ratio > 0.5, and/or left ventricular ejection fraction <40% documented by echocardiography
Exclusion Criteria:
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Medical University of Vienna
Investigators
- Principal Investigator: Richard Pacher, MD, Medical University of Vienna
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- VF: 05.05.2003