Evaluation of a Primary Care Based Heart Failure Management Program
Recruitment status was Active, not recruiting
Evaluation of a primary care based (family physicians) HF management strategy in patients with heart failure in the community
Behavioral: Primary care based disease management strategy
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Educational/Counseling/Training
|Official Title:||Congestive Heart Failure Assessment and Management in Primary Care: CHAMP|
- Process-of-care composite score assessed at baseline, at 6 months for effectiveness of the intervention, and at 12 months for sustainability of the effect. The score includes assessment of:
- ACE-inhibitor use unless contraindicated,ACE-inhibitor dosage is at >50% of clinical trial target dose,Beta-blocker use unless contraindicated.
- Each component of the score will be given one point.
- Disease specific quality of life (QOL)with Minnessota Living with Heart Failure.
- NYHA functional class.
- Other outcomes
- All-cause hospitalization defined as > 24-hour hospital stay including the time spent in the emergency room.
- Hospitalizations for HF: > 24-hour hospital stay including the time spent in the emergency room with clinical evidence of HF including at least one of the following: increased dyspnea on exertion, orthopnea, nocturnal dyspnea, elevated jugular venous
- Emergency room visits for deterioration of HF requiring IV or additional PO diuretics: <24-hour stay in hospital/emergency room with clinical evidence of HF.
- Referral to Hamilton Health Sciences HF clinic or other institution.
- Quality adjusted survival
- Overall costs
|Study Start Date:||July 2003|
|Estimated Study Completion Date:||October 2006|
Cluster randomized clinical trial (family physician is cluster) evaluating a primary care based heart failure management strategy
|Hamilton, Ontario, Canada, L8N3Z5|
|Principal Investigator:||Catherine Demers, MD, MSc, FRCPC||McMaster University|