A Cohort Study on Early Stages of 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
- Это наблюдательное исследование: исследуемое лечение участникам по протоколу не назначают.
- Кому может быть актуально
- Состояния в реестре: Stages of Heart Failure. Базовые параметры: от 60 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
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
A Community-based Cohort Study on Early Screening of Heart Failure in Elderly Population in Shanghai
Обзор
The main goal of this observational study is to learn about the epidemiological characteristics of heart failure among elder population in Beicai community in Shanghai and construct a community-based database and biobank. The main question it aims to answer is: What is the prevalence and prognosis of different stages of heart failure among elder population in community in Shanghai? And what are the influencing factors? What are the best screening strategies and hierarchical management strategies among different stages of heart failure patients in community? Participants are the elderly people aged 60 years or older in Beicai community in China. The follow-up will be programmed every 2 years.
Подробное описание
Heart failure is a serious manifestation or advanced stage of various heart diseases with high mortality and re-hospitalization rates, and early diagnosis of heart failure is important to improve patient survival. Currently, the prevalence of preclinical heart failure (heart failure stage B) is lacking in China, and the rate of progression of heart failure from stage A/B to symptomatic heart failure (heart failure stage C) and end-stage heart failure (heart failure stage D) and the factors influencing the heart failure development are unknown.
The study is an ongoing prospective community-based study. After enrollment, a questionnaire, physical examination, laboratory examination and imaging examination will be administered to each participant at baseline and every 2 years in the follow-up. The laboratory and imaging examination include: blood/urine sample and biochemical measurements, electrocardiogram, echocardiograph, etc. In the follow-up, the incidence of cardiovascular disease, heart failure, other CV events and mortality will be recorded. Whether at baseline or follow-up, if the investigators find that patients are unclear about their disease status, the investigators will notify them by phone and record their subsequent medical behavior and results.
In this study, a community-based database and biobank will be established for early screening and long-term prognosis of heart failure in elderly population. Through the analysis of the data, the epidemiological characteristics of early stage of heart failure in elderly population in Shanghai can be identified and a multivariable model predicting heart failure in early stage will be constructed. Furtherly，the investigators will explore the referral criteria and hierarchical management strategies for heart failure through the cooperation between community hospitals and comprehensive hospitals.
Первичные конечные точки
- All-cause mortality rate [Срок оценки: 10 years]
Вторичные конечные точки (8)
- Prevalence of early heart failure [Срок оценки: 10 years]
- Progress of heart failure of Stage A [Срок оценки: Following up 10 years]
- Progress of heart failure of Stage B [Срок оценки: Following up 10 years]
- Progress of heart failure of Stage C [Срок оценки: Following up 10 years]
- Clinical endpoints of heart failure [Срок оценки: Following up 10 years]
- New cardiovascular events [Срок оценки: Following up 10 years]
- Referral rate [Срок оценки: 10 years]
- Cardiovascular mortality rate [Срок оценки: 10 years]
Критерии участия
Критерии включения
- Age ≥60 years
- Cooperate in participating in research and sign informed consent forms
Критерии исключения
- End stage heart failure patients
- Refusal to participate in this study
- Patients who are not suitable to participate in this study by Researchers\'s evaluation
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Китай · 1 центр
- Shanghai East Hospital — Шанхай
Публикации
- Gong X, Xu J, Wang M, Hu H, Yan Y, Han W, Huang J. Implementing community-based heart failure screening in primary care settings: a population-based pilot study in Shanghai, China. BMC Prim Care. 2025 Dec 18;27(1):19. doi: 10.1186/s12875-025-03124-1. PMID 41408608
Идентификаторы
NCT: NCT06673615 · XSDL-001