None listed
Conditions
Brief summary
Heart failure (HF) is a common disease of the heart with a high rehospitalisation and mortality rate. Regional HF patients rarely receive the full benefits of evidence-based care simply due to inaccessibility to a HF specialist team. The aim of this project is to determine the effectiveness of improving the translation of HF guidelines into clinical practice through implementing key recommendations from the guidelines and improving access to specialist services in regional health services. I-HEART involves post-discharge optimisation of medications, and rapid access to HF specialists and community-based services within 30-days of discharge.
Interventions
The intervention will be delivered by telehealth between specialists in a metropolitan health service and health professionals in a regional health service
1) One appointment of one hour telehealth review by a heart failure (HF) Cardiologist (from a metropolitan hospital) with the patient and their regional site Dr/GP by day 10 post-discharge, and 2) five appointments each of one hour telehealth reviews by a HF nurse practitioner from a metropolitan hospital, in conjunction with the regional sit
The intervention will be delivered by telehealth between specialists in a metropolitan health service and health professionals in a regional health service 1) One appointment of one hour telehealth review by a heart failure (HF) Cardiologist (from a metropolitan hospital) with the patient and their regional site Dr/GP by day 10 post-discharge, and 2) five appointments each of one hour telehealth reviews by a HF nurse practitioner from a metropolitan hospital, in conjunction with the regional site community outreach nurse and patient by day five and then weekly for 28 days post-discharge The purpose of the review by the HF Cardiologist is to review the HF patients post-discharge and to develop a management plan with the patient and their local Dr/GP. The purpose of the review by the HF nurse practitioner is to prescribe and titrate medications and provide education about HF based on the Heart Foundation HF patient resource. The telehealth review protocol is designed specifically for this study No training is required by the cardiologist and nurse practitioner as both are qualified and experts in the field. Each telehealth consultation will collect data about the treatment and management plans implemented during the consultations. These consultations will not be recorded.
Sponsors
Deakin University
Study design
Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All patients admitted to the regional health service with acute heart failure, aged over 17 years, who are discharged alive and not transferred to palliative care or another hospital.
Exclusion criteria
None
Outcome results
None listed