Heart Failure
Conditions
Brief summary
The purpose of the SEDIC study is to test a home based heart failure patient clinical follow-up and therapeutic education using telemedicine. This educational follow-up is based on an interactive information system (SCAD) including a touch screen personal computer for heart failure patient at home. An interactive algorithm has been developed to allow a self management teaching to the patient.Furthermore, a specialized nurse provide a clinical data follow-up.
Interventions
DEVICESCAD information system
Clinical follow-up and continuation of therapeutic education by telemedicine during 3 months
Sponsors
University Hospital, Caen
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to 95 Years
Healthy volunteers
No
Inclusion criteria
* Patients \> 65 years old hospitalized for acute heart failure * Left ventricle systolic Dysfunction with ejection fraction \< 45 %, documented in the previous 6 months * And at least one of the following criteria: BNP before discharge from hospital \> 350 pg/ml / EF \< 35 % / Hospitalization for acute heart failure informed in the previous 6 months
Exclusion criteria
* NYHA 4 at hospital discharge * Planned cardiac surgery or coronary revascularization * Hospitalization for ST-elevation acute coronary syndrome * Depressive syndrome with score \> 20 at geriatric depression scale * Therapeutic education impossible * Technical problems with the device * Limited autonomy for device use * Patient not living in Basse-Normandie * Ongoing participation in another clinical trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of hospitalization days for heart failure | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Total mortality | 12 months |
| Rate of hospitalization for heart failure | 12 months |
| Median of time up to mortality or hospitalization for heart failure | 12 months |
| Number of medical consultation | 12 months |
| Cardiovascular mortality | 12 months |
| Disease knowledge questionnaire | 12 months |
| Quality of life questionnaire ( Minnesota) | 12 months |
| BNP | 12 months |
| Six minutes walk test | 12 months |
| Pharmaco-economic analysis | 12 months |
Countries
France
Outcome results
None listed