Evaluation of a Nurse Case Management Model for Chronic Heart Failure
Completed · Not applicable
Conditions studied: Heart Failure, Congestive
In brief
Despite established clinical practice guidelines, wide variations exist in the care of chronic heart failure (CHF) patients in Veterans Health Administration. Previous randomized, controlled studies have suggested that a nurse case management model may improve the outcomes of care for patients with CHF. However, these studies involved selected groups of patients (i.e., those who agreed to participate in randomized trials) in selected settings (i.e., tertiary care facilities); so, the findings are not likely to be indicative of the true effectiveness of case management in a large population of CHF patients.
Key facts
- Study ID
- NCT00105703
- Run by
- US Department of Veterans Affairs
- People needed
- 969
- Starts
- 2002-02-01
- Expected to finish
- 2007-06-01
- Last updated by the study team
- 2015-04-07
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Patient receives all cardiology care at a VISN 11 VAMC.
- Must have chronic heart failure (CHF) secondary to systolic or diastolic dysfunction, as defined by meeting (1) or (2) below:
- Systolic Dysfunction, defined by a history or documentation of LVEF = 40% (or fractional shortening = 20%-if LVEF not documented)
- AND at least ONE of the following:
- Current diagnosis or history of CHF and/or
- Physical findings and/or symptoms of CHF within two months of enrollment and/or
- Hospitalization for CHF within 12 months OR
- Diastolic Dysfunction, defined by a history of documentation of LVEF > 40% (or fractional shortening > 20% if LVEF not documented) AND Physical findings and/or symptoms of CHF within two months of enrollment.
You may not qualify if…
- Based on medical record data, patient does not have any co-morbidity other than CHF which, in the opinion of the investigator, limits life expectancy to less than six months (e.g., metastatic CA, hospice care, renal failure with a creatinine above 5.0 mg/dL or on dialysis, HIV).
Where it is running
- VA Illiana Health Care System, Danville, IL — Danville, Illinois, United States
- Richard L. Roudebush VA Medical Center, Indianapolis, IN — Indianapolis, Indiana, United States
- VA Ann Arbor Healthcare System, Ann Arbor, MI — Ann Arbor, Michigan, United States
- John D. Dingell VA Medical Center, Detroit, MI — Detroit, Michigan, United States
Full record on ClinicalTrials.gov
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