Fragility, Heart Failure; With Decompensation
Conditions
Brief summary
Randomized controlled clinical trial with intervention branch (management program cardiological-geriatric) and control branch (usual care) for fragile patients with decompensated heart failure.
Detailed description
Randomized controlled clinical trial with intervention branch (management program cardiological-geriatric) and control branch (usual care) for fragile patients with decompensated heart failure. Follow-up period 1 month. This protocol aims through a multidisciplinary vision, to carry out during hospitalization a comprehensive geriatric evaluation that allows to know the medical and socio-environmental needs of the patient to plan the required care at home and achieve an effective transition.
Interventions
OTHERManagement Program
Joint management between the geriatric and cardiology team of the geriatric syndromes and heart failure. Education of the patient and their caregiver, preparing them for the transition of care.
Sponsors
Hospital Italiano de Buenos Aires
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Co-management program (cardiological-geriatric) to carry out during hospitalization a comprehensive evaluation that allows to know the medical and socio-environmental needs of the patients to plan the required care at home and achieve an effective transition.
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Age 65 years or older 2. Decompensated heart failure 3. FRAIL scale equal to 3 or more points 4. Permanent residence in the Metropolitan Area of Buenos Aires
Exclusion criteria
1. Refusal to participate in the study 2. Terminal oncology or cardiological disease 3. Reversible or treatable etiology heart failure (e.g. Takotsubo, acute cardiomyocarditis) 4. Patients followed by geriatrics prior to admission 5. Simultaneous participation in another research protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital admission | 30 days | Number of hospital admission for any cause within 30 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality | 30 days | Number of deaths from any cause within 30 days |
Other
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of fragility | Admission | The proportion of patients with a FRAIL scale equal to 3 or more points of the total number of patients hospitalized for heart failure |
Countries
Argentina
Outcome results
None listed