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NCT03903198 Clinical Trial

Care Pathways of Acute Heart Failure Patients: Impact on In-hospital Mortality.

Acute Heart Failure Clinical Trial

Official title:
Care Pathways of Acute Heart Failure Patients: Impact on In-hospital Mortality. A French National Prospective Survey

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT03903198
Other study ID # 1836586v0
Secondary ID
Status Completed
Phase
First received
Last updated
Start date June 2014
Est. completion date October 2018

Study information
Verified date April 2019
Source Association pour le Développement de la Recherche et de l'Enseignement en Médecine d'Urgence
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The investigators conducted a prospective observational study to describe the different pre-hospital and in-hospital pathways of patients with acute heart failure (AHF) and their association with in-hospital mortality.

Description:

Prospective observational national multicentric study in 26 centres. Between june 2014 and october 2018 The investigators collected data about baseline characteristics, first recourse, in-hospital places of care and places of hospitalizations. Lengths of care and lengths of hospitalization.

Collected data of each patient were reported on a specific assessment tool. The investigators ran a univariate analysis and logistic regression between steps of the care pathway and in-hospital mortality. The main result was validated by an analysis with a propensity score: association between a hospitalization in cardiology and in-hospital mortality.

Recruitment information / eligibility
Status Completed
Enrollment 3677
Est. completion date October 2018
Est. primary completion date October 2018
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- All patients presenting to hospital with Acute Heart Failure according to the physician in care

Exclusion Criteria:

Study Design

Related Conditions & MeSH terms

Locations
Country Name City State
n/a

Sponsors (1)
Lead Sponsor Collaborator
frederic ADNET

References & Publications (2)

Cleland JG, McDonagh T, Rigby AS, Yassin A, Whittaker T, Dargie HJ; National Heart Failure Audit Team for England and Wales. The national heart failure audit for England and Wales 2008-2009. Heart. 2011 Jun;97(11):876-86. doi: 10.1136/hrt.2010.209171. Epub 2010 Dec 20. — View Citation

Cowie MR, Anker SD, Cleland JGF, Felker GM, Filippatos G, Jaarsma T, Jourdain P, Knight E, Massie B, Ponikowski P, López-Sendón J. Improving care for patients with acute heart failure: before, during and after hospitalization. ESC Heart Fail. 2014 Dec;1(2):110-145. doi: 10.1002/ehf2.12021. Epub 2015 Jan 21. — View Citation

Outcome
Type Measure Description Time frame Safety issue
Primary In-hospital mortality Death of the patient during hospital stay reported by the physician in charge Between patient's inclusion in the study and it's hospital discharge, up to one year
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