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Идёт набор NCT02693509

Get With The Guidelines-Heart Failure Registry

— Наблюдательное Heart Failure

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: GWTG Heart Failure program.
Кому может быть актуально
Состояния в реестре: Heart Failure. Базовые параметры: 18 лет — 125 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

Get With The Guidelines-Heart Failure is designed to improve the quality of care in patients hospitalized with heart failure. The program aims to help ensure that eligible patients are initiated on guideline recommended therapies and receive appropriate counseling prior to hospital discharge.

Подробное описание

Get With The Guidelines-Heart Failure was initiated in 2005 with over 500 U.S. hospitals participating is designed to improve the quality of care in patients hospitalized with heart failure. The program aims to help ensure that eligible patients are initiated on guideline recommended therapies and receive appropriate counseling prior to hospital discharge.

Peer-reviewed research(with over 35 manuscripts) has demonstrated that through participating in Get With The Guidelines-Heart Failure, hospitals will provide equitable care (regardless of race, ethnicity, age, or gender), the importance of scheduled physician follow-up after heart failure hospital discharge, the value in device-support as necessary for the acute heart failure patient, and many other significant findings.

Achievement measures tracked through Get With The Guidelines-Heart Failure:

* Angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) at discharge * Evidence-based specific beta blockers * Measure left ventricular function * Post-discharge appointment for heart failure patients

Quality Measures tracked through Get With The Guidelines-Heart Failure:

* Mineralocorticoid receptor antagonist at discharge * Aldosterone antagonist at discharge * Anticoagulation for atrial fibrillation * Hydralazine nitrate at discharge * DVT prophylaxis * CRT-D or CRT-P placed or prescribed at discharge * ICD counseling, or ICD placed or prescribed at discharge * Influenza vaccination during flu season * Pneumococcal vaccination * Follow-up visit within 7 days or less * Lab monitoring follow-up * SGLT-2 inhibitor at discharge * Defect-free care for quadruple therapy medication for patients with heart failure with reduced ejection fraction * Direct-acting oral anticoagulant at discharge for non-valvular atrial fibrillation or atrial flutter patients

Additional measures collected by Get With The Guidelines-Heart Failure can be viewed at: http://www.heart.org/idc/groups/heart-public/@wcm/@private/@hcm/@gwtg/documents/downloadable/ucm\_310967.pdf

Вмешательства

  • Другое GWTG Heart Failure program
    Evidence based guideline recommended therapies and counseling prior to hospital discharge

Первичные конечные точки

  • 30 day readmission rate [Срок оценки: 30 days post discharge from hospital]
  • 60 day readmission rate [Срок оценки: 60 days post discharge from hospital]
  • 90 day readmission rate [Срок оценки: 90 days post discharge from hospital]

Критерии участия

Критерии включения

  • Patients hospitalized with congestive heart failure.

Критерии исключения

  • Patients who do not have congestive heart failure,
  • Patients under age of 18,
  • Patients not admitted as inpatients.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Модель наблюдения
Когортное

Центры проведения

США · 1 центр
  • Amy Bennett — Dallas

Публикации

  • Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, Fonarow GC, Geraci SA, Horwich T, Januzzi JL, Johnson MR, Kasper EK, Levy WC, Masoudi FA, McBride PE, McMurray JJ, Mitchell JE, Peterson PN, Riegel B, Sam F, Stevenson LW, Tang WH, Tsai EJ, Wilkoff BL; American College of Cardiology Foundation; American Heart Association Task Force on Practice Guidelines. 2013 ACCF/AHA guideline for PMID 23747642
  • American Academy of Family Physicians; American Academy of Hospice and Palliative Medicine; American Nurses Association; American Society of Health-System Pharmacists; Heart Rhythm Society; Society of Hospital Medicine; Bonow RO, Ganiats TG, Beam CT, Blake K, Casey DE Jr, Goodlin SJ, Grady KL, Hundley RF, Jessup M, Lynn TE, Masoudi FA, Nilasena D, Pina IL, Rockswold PD, Sadwin LB, Sikkema JD, Sinc PMID 22534627
  • Rao VN, Mentz RJ, Coniglio AC, Kelsey MD, Fudim M, Fonarow GC, Matsouaka RA, DeVore AD, Caughey MC. Neighborhood Socioeconomic Disadvantage and Hospitalized Heart Failure Outcomes in the American Heart Association Get With The Guidelines-Heart Failure Registry. Circ Heart Fail. 2022 Nov;15(11):e009353. doi: 10.1161/CIRCHEARTFAILURE.121.009353. Epub 2022 Nov 15. PMID 36378758

Идентификаторы

NCT: NCT02693509 · GWTG01

Первоисточники (государственные реестры)

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