Registry for Acute Decompensated Heart Failure Patients Admitted to the ER

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00364325
Recruitment Status : Completed
First Posted : August 15, 2006
Last Update Posted : April 28, 2010
Information provided by:
Scios, Inc.

Brief Summary:
The purpose of this study is to collect data on the medical management of patients presenting to the Emergency Department who are treated for Acute Decompensated Heart Failure (ADHF) in a hospital setting that has incorporated a disease management program for heart failure.

Condition or disease Intervention/treatment
Heart Failure, Congestive Heart Decompensation Other: Acute Decompensated Heart Failure

Detailed Description:
This is an Observational (individuals are observed or certain outcomes are measured. no attempt is made to affect the outcome), multi-center registry study of patients presenting to the Emergency Department (ED) for treatment of known or suspected Acute Decompensated Heart Failure (ADHF). Data will be collected on the medical management of patients presenting to the ED who are treated for ADHF in a hospital setting incorporating a disease management program for heart failure. The study will evaluate change in clinical management and outcomes of ADHF patients treated in the ED after ED implementation of three or more components of a disease management program for heart failure. The results are intended to assist hospitals in evaluating and improving quality of care for patients with ADHF by tracking quality indicators and providing site-specific benchmark reports and national benchmark reports. This registry considers patients treated with any therapy for ADHF

Study Type : Observational
Actual Enrollment : 18920 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Acute Decompensate Heart Failure National Registry ( ADHERE) Emergency Module (EM)
Study Start Date : July 2004
Actual Study Completion Date : March 2006

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Heart Failure

Group/Cohort Intervention/treatment
001 Other: Acute Decompensated Heart Failure
Standard of Care

Primary Outcome Measures :
  1. The registry will capture information about the medical care that the patient has received including hospital/ emergency department course, major procedures, medication received, emergency room disposition and in hospital death [ Time Frame: Data will be collected, beginning with care in the Emergency Department and ending with the patient's Discharge from the Emergency Department or hospital discharge, transfer to another hospital, or in-hospital death. ]

Secondary Outcome Measures :
  1. Baseline demographic information (age,sex, gender,race), initial evaluation, laboratory results and medical history. [ Time Frame: From admission to the emergency depatment until discharge ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
The study population consists of all consecutive adults patients seen in the Emergency department of an acute care hospital and treated actively for Acute Decompensated Heart Failure (ADHF) where the condition is defined clinically as new onset of Heart Failure with decompensation or chronic heart failure with decompensation. Patient eligibility is based upon the presence of a hospital discharge and/or Emergency department diagnosis of ADHF and is not tied to the use of any specific therapeutic agent or regimen.

Inclusion Criteria:

  • Age greater than or equal to 18 years at the time of ED treatment
  • Received or is eligible to receive a principal ED and/or hospital discharge diagnosis of ADHF
  • ADHF is present as determined clinically by the patient care team and as documented in the DRG (Diagnosis-related Group) or APC (Ambulatory Payment Classifications) codes, and ADHF is the focus of treatment
  • If required by site IRB/IEC patient (or legally acceptable representative) must be able to give informed consent for participation

Exclusion Criteria:

  • ADHF is present as a co-morbid condition, but is not a principal focus of diagnosis or treatment during this ED or hospital episode
  • Patient was not treated in ED during this episode of care
  • Participation in any clinical trial that precludes use of a Disease Management Program (specific component of the disease are managed in an integrated manner by a team of physicians, pharmacists, nurses and communication experts)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00364325

Sponsors and Collaborators
Scios, Inc.
Study Director: Scios, Inc. Clinical Trial Scios, Inc.

Responsible Party: Sr. Director, Clinical Team Leader, Scios Identifier: NCT00364325     History of Changes
Other Study ID Numbers: CR005215
First Posted: August 15, 2006    Key Record Dates
Last Update Posted: April 28, 2010
Last Verified: April 2010

Keywords provided by Scios, Inc.:
Heart failure, congestive
Heart decompensation

Additional relevant MeSH terms:
Heart Failure
Heart Diseases
Cardiovascular Diseases