Status:

COMPLETED

Evaluation of a Nurse Case Management Model for Chronic Heart Failure

Lead Sponsor:

US Department of Veterans Affairs

Conditions:

Heart Failure, Congestive

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Despite established clinical practice guidelines, wide variations exist in the care of chronic heart failure (CHF) patients in Veterans Health Administration. Previous randomized, controlled studies h...

Detailed Description

BACKGROUND / RATIONALE: Despite established clinical practice guidelines, wide variations exist in the care of chronic heart failure (CHF) patients in Veterans Health Administration. Previous randomi...

Eligibility Criteria

Inclusion

  • Patient receives all cardiology care at a VISN 11 VAMC.
  • Must have chronic heart failure (CHF) secondary to systolic or diastolic dysfunction, as defined by meeting (1) or (2) below:
  • Systolic Dysfunction, defined by a history or documentation of LVEF = 40% (or fractional shortening = 20%-if LVEF not documented)
  • AND at least ONE of the following:
  • Current diagnosis or history of CHF and/or
  • Physical findings and/or symptoms of CHF within two months of enrollment and/or
  • Hospitalization for CHF within 12 months OR
  • Diastolic Dysfunction, defined by a history of documentation of LVEF \> 40% (or fractional shortening \> 20% if LVEF not documented) AND Physical findings and/or symptoms of CHF within two months of enrollment.

Exclusion

  • Based on medical record data, patient does not have any co-morbidity other than CHF which, in the opinion of the investigator, limits life expectancy to less than six months (e.g., metastatic CA, hospice care, renal failure with a creatinine above 5.0 mg/dL or on dialysis, HIV).

Key Trial Info

Start Date :

February 1 2002

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 1 2007

Estimated Enrollment :

969 Patients enrolled

Trial Details

Trial ID

NCT00105703

Start Date

February 1 2002

End Date

June 1 2007

Last Update

April 7 2015

Active Locations (4)

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Page 1 of 1 (4 locations)

1

VA Illiana Health Care System, Danville, IL

Danville, Illinois, United States, 61832

2

Richard L. Roudebush VA Medical Center, Indianapolis, IN

Indianapolis, Indiana, United States, 46202-2884

3

VA Ann Arbor Healthcare System, Ann Arbor, MI

Ann Arbor, Michigan, United States, 48105

4

John D. Dingell VA Medical Center, Detroit, MI

Detroit, Michigan, United States, 48201