Chronic Heart Failure Clinical Trial
Official title:
Applying Telemedicine Technologies in a Novel Model of Organizing and Implementing Comprehensive Cardiac Rehabilitation in Heart Failure Patients - TELEREH-HF
Applying modern technology of data collecting, monitoring, transmitting and analyzing in order to implement a novel (hybrid) model of comprehensive home-based cardiac rehabilitation in heart failure patients.
Heart failure (HF) epidemic is an aggressively developing phenomenon, stimulated by
developing civilization and generating worrying economic and social effects. Early
comprehensive cardiac rehabilitation (CCR) is an accepted method of preventing and treating
adverse cardiac events, which allows for care cost reduction. In Poland, CCR availability is
highly unsatisfactory (around 8%) and unacceptably varied (0.5-70%). With the existing
organization and technical background, improving this situation seems impossible. Project
objective: To apply telemedicine technologies to implement a novel model of home-based CCR in
HF patients.
The program, performed in six centers, will comprise 850 HF patients (randomization 1:1), in
NYHA class I-III, EF≤40%, clinically stable, after a hospitalization incident. The study
group patients will undergo a 9-week rehabilitation program consisting of two stages: Stage I
- preliminary (one week at stationary ward), Stage II - main (8 weeks of home-based
telerehabilitation). The primary end-point (days alive and out of hospital) will be assessed
during a 24-month follow-up in both groups. The project will enable early secondary
prevention in the population of people with HF to be implemented. It will be achieved via:
- Novel concept - "From Hospital To Home"
- Novel technology - telemedicine
- Novel method of CCR implementation
;
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