RecruitingNot ApplicableNCT05724433

VIrtual Care To Improve Outcomes and RecoverY From Heart Failure Hospitalization

VIrtual Care To Improve Outcomes and RecoverY From Heart Failure Hospitalization (VICTORY-HF) RCT

Sponsor

Population Health Research Institute

Enrollment

891 participants

Start Date

Jan 23, 2023

Study Type

INTERVENTIONAL

Conditions

Heart Failure

Summary

The clinic visits (intervention) will continue for 90 days, which represents the follow-up period for the primary medication and health status outcomes. The co-primary clinical outcomes will be obtained at 180 days.

Eligibility

Min Age: 18 Years

Inclusion Criteria8

Adult patients ≥ 18 years old who:
Are being discharged after hospitalization or urgent visit for HF as
a primary diagnosis or
significant complication (prolonging length of stay) of another diagnosis OR Have been referred for an initial consult at a cardiology clinic within 1 week of hospitalization or urgent visit for HF as a primary or secondary diagnosis, as described above.
Have left ventricular ejection fraction (LVEF) \< 50% within the preceding 3 months.
Have NT-proBNP of \> 900 pg/ml during hospital admission or within 7 days after discharge from the ED
Have a mailing address for patient or caregiver
Provide verbal consent

Exclusion Criteria10

Died or left hospital before medically advised hospital discharge
Unable to self-assess or communicate symptoms (e.g. clinically evident dementia)
Unable to engage with digital health technology or follow up
Severe valve disease
Recipient of or on waiting list for LVAD or cardiac transplant
Complex congenital heart disease, hypertrophic obstructive cardiomyopathy, or amyloid cardiomyopathy
Severe lung disease with symptoms on minimal exertion, forced expiratory volume during 1 second (FEV1) \< 1 litre, severe pulmonary hypertension with RVSP \> 60 mm Hg, or on home oxygen
Severe kidney disease (persistent eGFR \< 30 mL/min/1.73m2)
Active malignancy
Receiving palliative care or expected life expectancy \< 6 months

Interventions

OTHERVirtual HF Care

Patients will receive virtual visits for 3 months following hospitalization / emergency department (ED) visit for HF. Physiologic measures will be monitored remotely and therapies will be optimized.

OTHERRoutine HF Care

Care as determined by the treating physician