protocolSection identificationModule nctId: NCT06381427, orgStudyIdInfo id: 01NVF22109, briefTitle: Perioperative Interdisciplinary, Intersectoral Process Optimization in Heart Failure, acronym: PeriOP-CARE HF, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-09-01, primaryCompletionDateStruct date: 2026-08-31, completionDateStruct date: 2027-03-01, studyFirstPostDateStruct date: 2024-04-24, lastUpdatePostDateStruct date: 2024-04-24, sponsorCollaboratorsModule leadSponsor name: University of Giessen, class: OTHER, collaborators name: Deutsche Luft und Raumfahrt, descriptionModule briefSummary: Chronic heart failure affects up to three million people in Germany, with prevalence increasing with age. It is a leading cause of cardiovascular disease-related deaths. Patients with heart failure undergoing non-cardiac surgery face higher risks of complications and death compared to those with coronary artery disease. Despite guidelines recommending comprehensive preoperative evaluation, there is no systematic risk assessment structure in place, leading to inadequate perioperative care. This study aims to evaluate a multidisciplinary approach for high-risk patients aged 65 and above, regardless of prior heart failure diagnosis, to mitigate postoperative complications. The investigators measure the NTpro BNP before surgery and include patients with NTproBNP\> 450 in this study and randomize them either to the standard care group or the intervention group.The hypothesis is that standardized risk screening and multidimensional care (Intervention group) can reduce complications in these patients undergoing non-cardiac surgery., conditionsModule conditions: Heart Failure, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: PREVENTION, maskingInfo masking: NONE, enrollmentInfo count: 1057, type: ESTIMATED, armsInterventionsModule interventions name: Interdisciplinary decision-making for perioperative care, outcomesModule primaryOutcomes measure: combined primary endpoint at 90 days post-operation : re-hospitalization,AKI, bacterial infection and cardiac decompensation, secondaryOutcomes measure: Incidence of acute kidney injury, secondaryOutcomes measure: Incidence of any, treatable, suspected, or confirmed bacterial infection, secondaryOutcomes measure: Incidence of cardiac decompensation, secondaryOutcomes measure: Incidence of re-hospitalization, secondaryOutcomes measure: Mortality, secondaryOutcomes measure: Incidence of myocardial infarction (STEMI, NSTEMI), secondaryOutcomes measure: Incidence of Myocardial Injury after Non-Cardiac Surgery (MINS), secondaryOutcomes measure: Quality of life assessed using PHQ-9, secondaryOutcomes measure: Quality of life assessed using GAD-7, otherOutcomes measure: Utilization of services and costs, eligibilityModule sex: ALL, minimumAge: 65 Years, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Justus Liebig University Giessen, University Hospital Giessen and Marburg, city: Gießen, zip: 35390, country: Germany, contacts name: Michael Sander, PhD, role: CONTACT, phone: +4964198544401, contacts name: Birgit Aßmus, PHD, role: CONTACT, geoPoint lat: 50.58727, lon: 8.67554, hasResults: False