None listed
Conditions
Brief summary
The primary purpose of this randomised controlled study is to examine the impact of a nurse-coordinated multidisciplinary intervention on the rate of all-cause hospital stay relative to usual care in privately health insured patients discharged from hospital with chronic heart disease. The mean follow-up will be 2.5 years follow-up.
Interventions
Intervention involves a nurse coordinated multidisciplinary intervention with home visits involving clinical assessment, medication knowledge and assessment, overall self-care abilities, social status and current use of health care resources. Home visits occur within 2 weeks of discharge from hospital and this will be performed over the initial 6 months with median follow-up for 2.5 years. Each visit will be of 1 to 1.5 hours duration.
Sponsors
Baker IDI Heart and Diabetes Institute
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
45 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All elective and emergency patients admitted to St Andrews or Wesley Hospital, Brisbane and have MBF private health insurance, discharged to home and diagnosed with chronic heart disease: Coronary artery disease, chronic heart failure and chronic atrial fibrillation.
Exclusion criteria
Those < 45 years, not in the three diagnostic groups, not being discharged home, have congenital heart condition, a terminal malignancy, live beyond 25 km of the hospital or have surgically repairable heart disease.
Outcome results
None listed