Heart failure and chronic pulmonary disease Circulatory System Heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Home care patients aged over 70 years of any gender 2. Heart failure and/or chronic pulmonary disease 3. At least two hospital admissions during the previous year (with at least one of the admissions due to the above mentioned diseases)
Exclusion criteria
Exclusion criteria: 1. Residents in nursing homes 2. Paediatric patients (younger than 14 years of age) 3. Refusal to participate in the study 4. Frequent users of specialist healthcare services (i.e., rehabilitation, haemodialysis, frequent visitors to hospital day-care centres, etc.) 5. Terminal illness with life expectancy less than 6 months 6. Cognitive impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured at 3, 6, and 12 months: 1. Number and duration of hospital admissions 2. Mortality rate 3. Cost-effectiveness | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured at 3, 6, and 12 months: 1. Number of emergency department visits 2. Number of home visits 3. Number of primary care visits 4. Number of specialist care visits 5. Number of telephone contacts 6. Number of acute heart or respiratory decompensations 7. Quality of life (EQ-5D questionnaire at baseline and after 3, 6 and 12 months of follow-up) 8. Patient and professional satisfaction with the telemonitoring technology using validated questionnaires (after 3 months of follow-up) 9. Medication changes | — |
Countries
Spain