- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT01960218
Gas Exchange for Predicting Hospital Heart Failure Readmissions
3 april 2014 uppdaterad av: Shape Medical Systems, Inc.
Gas Exchange for Predicting Hospital Heart Failure Readmissions Clinical Evaluation Study
To determine whether, and if so, which gas exchange parameters measured on the Shape-HF Cardiopulmonary Exercise Testing System predict 30 and 180 day re-hospitalization in subjects discharged from hospitalization for an episode of acute decompensated heart failure.
Studieöversikt
Status
Okänd
Betingelser
Detaljerad beskrivning
This is a prospective, single-specialty clinical study.
This study is intended to evaluate the select gas exchange parameters during a short, sub-max bout of exercise using a simple stationary step on day of discharge to predict the subjects' readmission for acute decompensated heart failure.
Studietyp
Observationell
Inskrivning (Förväntat)
120
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
District of Columbia
-
Washington, District of Columbia, Förenta staterna, 20422
- Rekrytering
- Veterans Affairs-Washington DC
-
Kontakt:
- Jacqueline Gannuscio, DNP, ACNP
- Telefonnummer: 7297 202-745-8000
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Huvudutredare:
- Jacqueline Gannuscio, DNP, ACNP
-
-
Illinois
-
Champaign, Illinois, Förenta staterna, 61820
- Har inte rekryterat ännu
- Christie Clinic
-
Kontakt:
- Diane Genthner
- Telefonnummer: 217-337-2221
-
Huvudutredare:
- Abraham G Kocheril, MD
-
-
Massachusetts
-
Boston, Massachusetts, Förenta staterna, 02114
- Rekrytering
- Massachusetts General Hospital
-
Kontakt:
- Aaron Eisman
- Telefonnummer: 617-643-1697
-
Kontakt:
- Ashley Dress
- Telefonnummer: 617.643.1697
-
-
Minnesota
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Edina, Minnesota, Förenta staterna, 55435
- Rekrytering
- Fairview Southdale
-
Kontakt:
- Jennifer Nelson, RN
- Telefonnummer: 612-625-9455
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Huvudutredare:
- Eric Ernst, MD
-
Minneapolis, Minnesota, Förenta staterna, 55455
- Rekrytering
- University of Minnesota
-
Huvudutredare:
- Peter Eckman, MD
-
Kontakt:
- Jennifer Nelson, RN
- Telefonnummer: 612-625-0455
-
-
Missouri
-
St. Louis, Missouri, Förenta staterna, 63110
- Rekrytering
- Washington University of Medicine
-
Kontakt:
- Jessica Biondo, RN
- Telefonnummer: 314-286-1767
-
Huvudutredare:
- Gregory A Ewald, MD, FACC
-
-
Ohio
-
Cleveland, Ohio, Förenta staterna, 44195
- Rekrytering
- Cleveland Clinic
-
Kontakt:
- Ellen Slifcak, BA, RN
- Telefonnummer: 216-445-1776
-
Huvudutredare:
- Nancy Albert, PhD., R.N.
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Testmetod
Sannolikhetsprov
Studera befolkning
Subjects will be consecutively recruited from the population of subjects admitted to the hospital with acute decompensated heart failure.
Beskrivning
Inclusion Criteria:
- Subject is 18 Years and older
Subject is hospitalized for acute decompensated heart failure (ADHF)
- Systolic OR
- Diastolic
- Subject is Stage C:Class II/III/IV heart failure
- Subject is willing and to provide appropriate informed consent
- Subject is willing and able to comply with the requirements of the protocol, including follow-up evaluations and schedule
- Subject is willing to use the Shape-HF Cardiopulmonary Exercise Testing System
Exclusion Criteria:
- The subject is pregnant (verified in a manner consistent with institution's standard of care)
- Subject is currently participating in another investigational device or drug trial
- Subject is a prisoner, a minor or unable to adequately give informed consent due to mental or physical condition
- Subject is unwilling or unable to return for the required follow-up after test
- Subject has Left Ventricular Assist Device (LVAD)
- Subject is listed for transplant
- Subject has a clinical diagnosis of acute myocardial infarction (AMI) on admission (Note: If troponin measurements have been collected and are elevated but not due to an MI subject is still eligible for study)
- Subject has a pulmonary embolism (PE) on admission
- Subject is dialysis dependent
- Subject has a cardiac resynchronization device (CRT) which has been re-programmed at any time during the study
- Subject has Chronic Obstructive Pulmonary Disease (COPD) who is oxygen or steroid dependent
- Subject has severe hypertension > 180 millimeter of mercury (mmHg) resting systolic at time of test
- Subject has severe heart failure with renal insufficiency (with Creatinine clearance rate (CrCL) of 30 or less) and/or on IV Inotropic therapy and/or enrolling in hospice
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
Kohorter och interventioner
Grupp / Kohort |
---|
acute decompensated heart failure
Adult subjects anticipating discharge from a hospitalization where the primary discharge diagnosis is acute decompensated heart failure and who are not excluded due to existing conditions.
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
1. To evaluate if exercise gas exchange tests can predict 30 day hospital readmission for heart failure.
Tidsram: 30 days ± 3 days post discharge
|
The analysis of exercise gas exchange (using the Shape-HF Cardiopulmonary Exercise Testing System) of the incidence of hospital readmission through 30 days ± 3 days post discharge follow-up.
|
30 days ± 3 days post discharge
|
2. To evaluate which gas exchange patterns were most highly associated with 30 day risk of readmission for recurrent acute decompensated heart failure.
Tidsram: 30 days ± 3 days post discharge
|
The analysis of exercise gas exchange (using the Shape-HF Cardiopulmonary Exercise Testing System) of the incidence of hospital readmission through 30 days ± 3 days post discharge follow-up.
|
30 days ± 3 days post discharge
|
3. To determine the incidence of Adverse Events (AE) and Serious Adverse Events (SAE).
Tidsram: 30 days ± 3 days post discharge follow-up and through 180 days ± 15 days post discharge
|
The analysis of the incidence of AEs and SAEs on the day of discharge post Shape-HF Cardiopulmonary Exercise Testing System through 30 days ± 3 days post discharge follow-up and through 180 days ± 15 days post discharge follow-up.
|
30 days ± 3 days post discharge follow-up and through 180 days ± 15 days post discharge
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
1. To evaluate if exercise gas exchange tests can predict 180 day hospital readmission for heart failure.
Tidsram: 180 days ± 15 days post discharge
|
The analysis of exercise gas exchange (using the Shape-HF Cardiopulmonary Exercise Testing System) of the incidence of hospital readmission through 180 days ± 15 days post discharge follow-up.
|
180 days ± 15 days post discharge
|
2. To evaluate which gas exchange patterns were most highly associated with 180 day risk of readmission for recurrent acute decompensated heart failure.
Tidsram: 180 days ± 15 days post discharge
|
The analysis of exercise gas exchange (using the Shape-HF Cardiopulmonary Exercise Testing System) of the incidence of hospital readmission through 180 days ± 15 days post discharge follow-up.
|
180 days ± 15 days post discharge
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Huvudutredare: Abraham G Kocheril, MD, Christie Clinc
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- Yu CM, Wang L, Chau E, Chan RH, Kong SL, Tang MO, Christensen J, Stadler RW, Lau CP. Intrathoracic impedance monitoring in patients with heart failure: correlation with fluid status and feasibility of early warning preceding hospitalization. Circulation. 2005 Aug 9;112(6):841-8. doi: 10.1161/CIRCULATIONAHA.104.492207. Epub 2005 Aug 1.
- Fang J, Mensah GA, Croft JB, Keenan NL. Heart failure-related hospitalization in the U.S., 1979 to 2004. J Am Coll Cardiol. 2008 Aug 5;52(6):428-34. doi: 10.1016/j.jacc.2008.03.061.
- Pulignano G, Del Sindaco D, Tavazzi L, Lucci D, Gorini M, Leggio F, Porcu M, Scherillo M, Opasich C, Di Lenarda A, Senni M, Maggioni AP; IN-CHF Investigators. Clinical features and outcomes of elderly outpatients with heart failure followed up in hospital cardiology units: data from a large nationwide cardiology database (IN-CHF Registry). Am Heart J. 2002 Jan;143(1):45-55. doi: 10.1067/mhj.2002.119608.
- Jacobs B. Reducing heart failure hospital readmissions from skilled nursing facilities. Prof Case Manag. 2011 Jan-Feb;16(1):18-24; quiz 25-6. doi: 10.1097/NCM.0b013e3181f3f684.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 oktober 2013
Primärt slutförande (Förväntat)
1 juli 2014
Avslutad studie (Förväntat)
1 januari 2015
Studieregistreringsdatum
Först inskickad
4 oktober 2013
Först inskickad som uppfyllde QC-kriterierna
8 oktober 2013
Första postat (Uppskatta)
10 oktober 2013
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
4 april 2014
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
3 april 2014
Senast verifierad
1 april 2014
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 0512
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