Heart Failure
Conditions
Brief summary
Heart failure (HF) is the most common hospital discharge diagnosis among older adults in the United States. Strikingly, 2 in 5 patients are readmitted within 1-year following their first HF admission. This results in significant potentially avoidable costs to our already strained healthcare system since hospitalizations result in 70% of yearly HF management costs. One of the most common causes of readmission is lack of medication optimization. This study will determine the effectiveness of a medication optimization website.
Detailed description
In a prospective design, 100 patients will be randomized to the intervention or usual care in a 1:1 fashion. Patients randomized to the intervention will receive an evidence-based medication recommendation intervention. Outcome measures will be collected at baseline and at 2 weeks post-intervention.
Interventions
OTHERMed Optimization Arm
An evidence-based medication recommendation website that is provided to the patients.
Sponsors
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* left ventricular ejection fraction (LVEF) \</= 40%
Exclusion criteria
* pregnancy * active cancer with a life expectancy less than 12 months * hospice * chronic inotropic therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The change in medications will be measured by the Evidence Based Medicine Percent Score (EBMPS). | Change over 2 weeks | The Evidence Based Medicine Percent Score (EBMPS) is calculated by the medications and doses the patient is taking (in points) divided by the total eligible medications based on the evidence (in points). |
Countries
United States
Outcome results
None listed