Heart Failure Clinical Trial
— THRIVEOfficial title:
The Heart Failure Readmission Intervention by Variable Early Follow-up (THRIVE) Study
NCT number | NCT03524534 |
Other study ID # | CN-16-2667 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | January 2017 |
Est. completion date | December 2018 |
Verified date | June 2023 |
Source | Kaiser Permanente |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study is a pragmatic randomized clinical trial to determine the effectiveness of two strategies of early follow-up in adults after hospitalization for heart failure: telephone follow-up with a heart failure care manager vs. in-person clinic visit with their primary care provider. The primary outcomes during 30-day follow-up will include readmission for heart failure, death and readmission for any cause. The study team aims to randomly assign 2400 patients during a 15-month period in a 1-to-1 ratio to either an initial structured telephone call with a heart failure care manager or an in-person primary care clinic visit within 7 days of discharge. A secondary goal is to increase the rate of any follow-up within 7 days of discharge to greater than 90 percent among all eligible patients.
Status | Completed |
Enrollment | 2091 |
Est. completion date | December 2018 |
Est. primary completion date | September 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 21 Years and older |
Eligibility | Inclusion Criteria: - All eligible patients hospitalized for confirmed acute heart failure at a Kaiser Permanente Northern California medical center Exclusion Criteria: - Planned discharge to a location other than their home. This includes a skilled nursing facility, nursing home or hospice facility. - Planned discharge to home with hospice care. - End-stage renal disease treated with chronic peritoneal dialysis or hemodialysis. - Death during the index hospitalization. |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Kaiser Permanente | The Permanente Medical Group |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Readmission for heart failure within 30-days | To compare 30-day rates of heart failure-related readmission for subjects randomly assigned to initial heart failure care manager telephone visit vs. in-person primary care clinic visit within 7 days after discharge from a heart failure hospitalization. | 30 days after discharge | |
Secondary | Readmission for any cause within 30 days | To compare 30-day rates of readmission for any cause for subjects randomly assigned to initial heart failure care manager telephone visit vs. in-person primary care clinic visit within 7 days after discharge from a heart failure hospitalization. | 30 days after discharge | |
Secondary | Increase in 7-day follow-up rates | To increase follow-up rate within 7 days of discharge to > 90% in eligible patients | 7 days after discharge | |
Secondary | Death from any cause within 30 days | To compare 30-day rates of death from any cause for subjects randomly assigned to initial heart failure care manager telephone visit vs. in-person primary care clinic visit within 7 days after discharge from a heart failure hospitalization. | 30 days after discharge |
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