Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT04638179 |
Other study ID # |
202006182RIND |
Secondary ID |
|
Status |
Completed |
Phase |
|
First received |
|
Last updated |
|
Start date |
February 1, 2018 |
Est. completion date |
November 16, 2020 |
Study information
Verified date |
February 2018 |
Source |
National Taiwan University Hospital |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Observational
|
Clinical Trial Summary
Background: Clinical heart failure patients always suffering from (1) worsen symptoms such as
decreased activity tolerance, end-to-end breathing and excessive body fluid volume; (2) high
medical expenses results from hospitalization; (3) reduced quality of life . In 2018,
following instruction from National Health Insurance Administration (NHIA), the National
Taiwan University Hospital (NTUH) undertook National Health Insurance post-acute care
program, PAC in charge of heart failure patients by multi-disciplinary integrated to reduce
acute exacerbations(AE), control symptoms, improve quality of life and increase survival
rate.
Description:
Objective: To evaluate the outcome of patients with heart failure who been taken are of
multi-disciplinary integrated instructed by National Health Insurance Administration (NHIA)
Methods: Use retrospective case contrl study. Adopted the hospitalized patients diagnosed
with heart failure in the NTUH as the research sample, and collected the retrospective data
for analysis in a two-group study design. (1) The experimental group is a patient who was
managed by the NHIA 's acute post-care plan. Provide interdisciplinary comprehensive care in
accordance with the norms and conduct health education during hospitalization. Hospitalized
Chinese pharmacists, dietitians, physiotherapists and case managers participate in health
education and will continue to be interviewed and have heart consultations within six months
of discharge. (2)The control group received traditional health education in general care and
routine health care.
Time of review: From February 2, 2018, the implementation of the National Health Insurance
Agency's acute post-care plan day to December 31, 2019, and continuous tracking of
effectiveness for one year.
Exclusion conditions: (1) Age over20 years, (2) long-term dialysis, (3) unconsciousness, (4)
complete bed rest without self-care ability, (5) those with ventilator dependence, (6)
ventricular assist device (VAD) has been implanted, (7) heart transplants , (8) refused to
join the research.
The monitoring indicators: Hospitalization rate within 180 days, mortality rate within one
year , functional recovery, left ventricle ejection fraction (LVEF), NT-pro BNP, etc.