Miniatura

Fitxers

702615.pdf (324.16 KB)

Tipus de document

Article

Versió

Versió publicada

Data de publicació

2019-02-01

Tots els drets reservats

Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/185601

Planning to reduce 30-day adverse events after discharge of frail elderly patients with acute heart failure: design and rationale for the DEED FRAIL-AHF trial

Títol de la revista

Autors

Director/Tutor

ISSN de la revista

Títol del volum

Recurs relacionat

Resum

Objectives: To demonstrate the efficacy of a system for comprehensive care transfer (Multilevel Guided Discharge Plan [MGDP]) for frail older patients diagnosed with acute heart failure (AHF) and to validate the results of MGDP implementation under real clinical conditions. The MGDP seeks to reduce the number of adverse outcomes within 30 days of emergency department (ED) discharge. Material and methods: We will enroll frail patients over the age of 70 years discharged home from the ED with a main diagnosis of AHF. The MGDP includes the following components: 1) a checklist of clinical recommendations and resource activations, 2) scheduling of an early follow-up visit, 3) transfer of information to the primary care doctor, and 4) written instructions for the patient. Phase 1 of the study will be a matched-pair cluster-randomized controlled trial. Ten EDs will be randomly assigned to the intervention group and 10 to the control group. Each group will enroll 480 patients, and the outcomes will be compared between groups. Phase 2 will be a quasi-experimental study of the intervention in 300 new patients enrolled by the same 20 EDs. The outcomes will be compared to those for each Phase-1 group. The main endpoint at 30 days will be a composite of 2 outcomes: revisits to an ED and/for hospitalization for AHF or cardiovascular death. Conclusion: The study will assess the efficacy and feasibility of comprehensive MGDP transfer of care for frail older AHF patients discharged home.

Matèries

Insuficiència cardíaca, Urgències cardiovasculars, Persones grans, Ingressos i altes en els hospitals

Matèries (anglès)

Heart failure, Cardiovascular emergencies, Older people, Hospital admission and discharge

Citació

Col·leccions

Articles publicats en revistes (Ciències Clíniques)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

Citació

MARTÍN-SÁNCHEZ, Francisco javier, LLOPIS GARCÍA, Guillermo, LLORENS, Pere, JACOB, Javier, HERRERO, Pablo, GIL, Víctor, JUAN I PASTOR, Antoni, LÓPEZ-PICADO, Amanda, FUENTES FERRER, Manuel, ROSSELLÓ, Xavier, GIL, Pedro, DÍEZ VILLANUEVA, Pablo, CALVO, Elpidio, MENDEZ BAILON, Manuel, CUESTA-TRIANA, Federico, GONZÁLEZ ARMENGOL, Juan jorge, GONZÁLEZ DEL CASTILLO, Juan, RUNTKLE, Isabelle, VIDÁN, Ma. teresa, COMÍN COLET, Josep, CRUZ JENTOFT, Alfonso j., BUENO, Héctor, MIRÓ I ANDREU, Òscar, FERNÁNDEZ PÉREZ, Cristina. Planning to reduce 30-day adverse events after discharge of frail elderly patients with acute heart failure: design and rationale for the DEED FRAIL-AHF trial. _Emergencias_. 2019. Vol. 31, núm. 1, pàgs. 27-35. [consulta: 25 de febrer de 2026]. ISSN: 1137-6821. [Disponible a: https://hdl.handle.net/2445/185601]

Exportar metadades

JSON - METS

Compartir registre