Get With the Guidelines in ED Patients With Heart Failure

Completed · Not applicable

Conditions studied: Heart Failure

In brief

Approximately 20-30% of patients presenting with acute heart failure are discharged from the ED. Compared to patients discharged from the hospital, they more frequently return to the ED and hospital for further management. While inpatient discharges are often enrolled in transitions programs and have their care tailored to evidence-based recommendations, ED discharges do not. The investigators propose to evaluate current standard ED discharge to an ED-based intervention which will transition patients to outpatient follow-up on guideline-recommended therapy.

Key facts

Study ID

NCT02519283

Run by

Vanderbilt University

People needed

529

Starts

2015-10-01

Expected to finish

2020-02-01

Last updated by the study team

2020-04-22

Who can join

Age: 21 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients deemed by emergency physician to have AHF, who they plan to discharge or hold for brief ED-based observation (less than 23 hours of AHF care)
• Age ≥21 years old
• Prior history of HF

You may not qualify if…

• Unable to comply with protocol- due to psychiatric disease or distance from the hospital
• Systolic BP <100 mmHg
• Evidence of ACS based on ischemia on ECG or Troponin elevation
• Outpatient inotrope infusion

Where it is running

• Emory University — Atlanta, Georgia, United States
• Indiana University — Indianapolis, Indiana, United States
• University of Iowa — Iowa City, Iowa, United States
• Wayne State University — Detroit, Michigan, United States
• University of Mississippi Medical Center — Jackson, Mississippi, United States
• Washington University — St Louis, Missouri, United States
• Stony Brook University — Stony Brook, New York, United States
• University of Cincinnati — Cincinnati, Ohio, United States
• MetroHealth — Cleveland, Ohio, United States
• Thomas Jefferson University — Philadelphia, Pennsylvania, United States
• VA Tennessee Valley Health System — Nashville, Tennessee, United States
• Vanderbilt University Medical Center — Nashville, Tennessee, United States
• UT Southwestern Medical Center — Dallas, Texas, United States
• Baylor College of Medicine — Houston, Texas, United States
• Virginia Commonwealth University — Richmond, Virginia, United States

Full record on ClinicalTrials.gov

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