Integrated healthcare for frail patients with heart failure

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the impact of integrated healthcare services on heart failure patients who are severely frail. It aims to establish interdisciplinary teams that will assess individual patient needs, conduct advance care planning, and develop tailored treatment plans. By focusing on coordinated follow-up across healthcare boundaries, the study seeks to improve symptom management and quality of life for this vulnerable population. The approach addresses a significant gap in current cardiovascular interventions, which often exclude frail patients.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age \>18 years old
* Admitted to hospital with heart failure with symptoms of decompensation including dyspnoea in NYHA class ≥ II, pulmonary congestion on chest x-ray and/or other signs like oedema or positive rales on auscultation and elevated NT-proBNP concentrations at screening
* Clinical Frailty Score ≥5
* Signed informed consent by patient and closest relatives\* and expected cooperation according to the protocol, ICH/GCP and national/local regulations

  * Although we preferably will recruit both patients and their relatives, participation from the next-of-kin will not be an exclusion criterium.

Exclusion Criteria:

* Inability to comply with all study requirements, due to major co-morbidities or psychosocial issues, or a history of noncompliance, that might compromise the patient's ability to understand and/or comply with the protocol instructions or follow-up procedures.
* Not being able to understand Norwegian.
* Permanent nursing home and estimated to stay alive for less than 6 months

Where it's running

• Drammen Hospital
  Drammen, Akershus, Norway Recruiting

Study contacts

• Study coordinator: Øystein Fossdal, MD
• Email: oeyfos@vestreviken.no
• Phone: +4791367769

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Other studies for the same condition or treatment. Recruiting studies are listed first.

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.