A combined diagnostic-therapeutic strategy to optimize management of patients with previously unrecognized heart failure in primary care

A combined diagnostic-therapeutic strategy to optimize management of patients with previously unrecognized heart failure in primary care - Strategy to recognize and initiate treatment of chronic heart failure

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON36824

Enrollment

700

Registered

2010-08-10

Start date

2010-11-01

Completion date

Unknown

Last updated

2024-05-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Decompensatio cordis Heart failure

Interventions

None listed

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: Age 65 years or over. Shortness of breath as reason for GP contact in the previous 12 months.

Exclusion criteria

Exclusion criteria: Already established heart failure, that is a diagnosis of heart failure confirmed by the cardiologist with echocardiography. A life expectancy shorter than 6 months. Not being able to give informed consent.

Design outcomes

Primary

Measure	Time frame
The primary outcome of the diagnostic part of our combined diagnostic-therapeutic strategy is: - Prevalence of 'systolic' and 'diastolic' heart failure in elderly who presented to the general practitioner with shortness of breath on exertion. The primary outcomes of the therapeutic part of our combined diagnostic-therapeutic strategy are: - Difference in distance walked during the 6 minutes walking test as measure for functionality between patients in the intervention and control group after 6 months follow-up; - Difference in quality of life between patients in the two groups after 6 months follow-up; - Difference in prescription of ACE-inhibitors and beta-blockers in the two groups after 6 months follow-up.	—

Measure

Time frame

The primary outcome of the diagnostic part of our combined diagnostic-therapeutic strategy is: - Prevalence of 'systolic' and 'diastolic' heart failure in elderly who presented to the general practitioner with shortness of breath on exertion. The primary outcomes of the therapeutic part of our combined diagnostic-therapeutic strategy are: - Difference in distance walked during the 6 minutes walking test as measure for functionality between patients in the intervention and control group after 6 months follow-up; - Difference in quality of life between patients in the two groups after 6 months follow-up; - Difference in prescription of ACE-inhibitors and beta-blockers in the two groups after 6 months follow-up.

—

Secondary

Measure	Time frame
- Differences in heart failure related doctor-appointments and hospitalization rates between the intervention and control group during 6 months follow-up; - Cost-effectiveness of the implemented diagnostic-therapeutic strategy.	—

Countries

Netherlands

Outcome results