Follow-up Strategies for Fragile Patients With Decompensated Heart Failure

Study Overview
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Brief Summary
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Randomized controlled clinical trial with intervention branch (management program cardiological-geriatric) and control branch (usual care) for fragile patients with decompensated heart failure.

Detailed Description
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Randomized controlled clinical trial with intervention branch (management program cardiological-geriatric) and control branch (usual care) for fragile patients with decompensated heart failure. Follow-up period 1 month. This protocol aims through a multidisciplinary vision, to carry out during hospitalization a comprehensive geriatric evaluation that allows to know the medical and socio-environmental needs of the patient to plan the required care at home and achieve an effective transition.

Official Title
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Clinical Trial on Follow-up Strategies for Fragile Patients With Decompensated Heart Failure

Conditions
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Heart Failure; With Decompensation, Fragility

Intervention / Treatment
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* Other: Management Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 65 years or older Decompensated heart failure FRAIL scale equal to 3 or more points Permanent residence in the Metropolitan Area of Buenos Aires Exclusion Criteria: Refusal to participate in the study Terminal oncology or cardiological disease Reversible or treatable etiology heart failure (e.g. Takotsubo, acute cardiomyocarditis) Patients followed by geriatrics prior to admission Simultaneous participation in another research protocol

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Co-management program (cardiological-geriatric) to carry out during hospitalization a comprehensive evaluation that allows to know the medical and socio-environmental needs of the patients to plan the required care at home and achieve an effective transition.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Management Program<br>Comanagement program (cardiological-geriatric) to carry out during hospitalization a comprehensive evaluation that allows to know the medical and socio-environmental needs of the patients to plan the required care at home and achieve an effective transition. | Other: Management Program<br>* Joint management between the geriatric and cardiology team of the geriatric syndromes and heart failure. Education of the patient and their caregiver, preparing them for the transition of care.<br>|
| No Intervention: Usual Care<br>Usual care during hospitalizacion and discharge. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital admission | Number of hospital admission for any cause within 30 days | 30 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mortality | Number of deaths from any cause within 30 days | 30 days |