About this trial
The main aim will be to evaluate whether a follow-up with virtual wards reduces HF hospitalisation at three months follow-up. Hospital admission will be defined as any hospital admission, or an emergency room stay of more than 24 h requiring IV diuretics.
The secondary objectives will be to evaluate whether this intervention reduces all-cause mortality, all-cause hospitalisation at three months, is cost-effectiveness, is associated with a higher percentage of prescription and dose of prognostic medication and improves the quality of life. To assess the potential long-term effects of the virtual wards follow-up, we will evaluate whether this intervention reduces all-cause mortality and HF hospitalisation at 6- and 12-months by a telephone call/virtual outpatients' appointment.
The study outcomes will be ascertained at each visit. Given the study design, it is impossible to assess the endpoints in a blinded manner. Clinical events during the study will be adjudicated by an operational committee whose members will be unaware of the group assignment.
Eligibility criteria
Qualifiers
Adult patients (≥ 18 years) with a recent hospitalisation.
Known ejection fraction and NYHA Class
Known or de novo Heart Failure
Patient or carer able to speak and understand English/Irish
Disqualifiers
Patients who decline to participate in the study.
Patient in palliative care or with a life expectancy of less than one year.
Patients referred to skilled nursing facilities or nursing homes at hospital discharge.
Patients with planned intervention on the mitral or aortic valve during admission or scheduled early after discharge.
Trial design
Treatments tested in this trial
- Telemonitoring
- Standard Care
Treatment groups
Sponsors and collaborators
National University of Ireland, Galway, Ireland
Lead sponsor
Health Service Executive, Ireland
Collaborator