Clinical trial NCT03661060: BLITZ Heart Failure
Official title: BLITZ Heart Failure
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Heart Failure
Keywords: Acute Heart Failure
Chronic Heart Failure
Guideline adherence
Clinical registry
Lead sponsor: Heart Care Foundation
Sponsor class: OTHER
First posted: 2018-09-07
Enrollment: 7569
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Hospitalized and ambulatory heart failure patients admitted to or evaluated in Italian Hospitals

Brief summary: To evaluate if Italian Cardiologists are treating Heart Failure (HF) patients according to International guidelines and if a structured educational program can improved their adherence.

Detailed description: Multicentre, cross-sectional, prospective, non-interventional, observational study designed to evaluate the level of adherence to current ESC guidelines recommendations in both acute and chronic HF patients enrolled in each participating center and to verify if a specific HF educational intervention composed by an educational web based program of data collection and face to face meetings is able to improve adherence to guidelines recommendations evaluated during a second enrollment period.

Eligibility criteria: Inclusion Criteria:

* All consecutive patients with chronic HF and those admitted for acute (de novo) or worsening chronic HF.
* Chronic HF: any NYHA class (I-IV).
* Acute HF Only patients in NYHA class III or IV, or with pulmonary edema or cardiogenic shock for whom an IV therapy specific for HF (diuretic, vasodilators, vasopressors) is administered.
* Any gender.
* Any etiology of HF.
* Any level of EF.
* Written informed consent.

Exclusion Criteria:

* - Age \<18 years.
* Inclusion in registries or trials that can influence, by protocol, the clinical management of patients.
* Patients already enrolled in the BLITZ HF (by another participating centre or in the first enrollment period).

Primary outcomes:
measure: Adherence to current guideline
timeFrame: Enrollment
measure: Patients managed and treated following International Guideline
timeFrame: 24 months
Secondary outcomes:
measure: Mortality
timeFrame: 12 months Follow-up
measure: Morbidity
timeFrame: 12 months Follow-up
measure: Indication to heart failure device implantation
timeFrame: Enrollement
measure: Prescription rate of disease modifying drugs
timeFrame: Enrollment
measure: Oral anticoagulation prescription in patients with AF
timeFrame: Enrollment
measure: Use of ARNI
timeFrame: Enrollment
measure: Creatinine and EF evaluation
timeFrame: Enrollment
Other outcomes:
Locations:
city: Ancona
country: Italy
facility: Ospedali Riuniti - Sod Cardiologia Ospedaliera Emod. E Utic
state: AN
city: Aosta
country: Italy
facility: Ospedale Generale Regionale-Po U. Parini - U.O. Cardiologia E Cure Intensive Card.
state: AO
city: Ascoli Piceno
country: Italy
facility: Ospedale Gen.Le Prov.Le C.G. Mazzoni - Sc Cardiologia
state: AP
city: Cortona
country: Italy
facility: Ospedale Valdichiana Santa Margherita - Uos Cardiologia E Hdu
state: AR
city: Avellino
country: Italy
facility: Aorn San Giuseppe Moscati - U.O. Cardiologia/Utic 'D. Rotiroti'
state: AV
city: Bergamo
country: Italy
facility: Asst Papa Giovanni Xxiii - Cardiologia 1
state: BG
city: Seriate
country: Italy
facility: Ospedale Bolognini - Cardiologia E Unita' Coronarica
state: BG
city: Treviglio
country: Italy
facility: Ospedali Treviglio-Caravaggio - Cardiologia
state: BG
city: Feltre
country: Italy
facility: Ospedale Santa Maria Del Prato - U.O. Di Cardiologia
state: BL
city: Bologna
country: Italy
facility: Ospedale Maggiore - U.O. Di Cardiologia
state: BO
city: Bologna
country: Italy
facility: Ospedale Policlinico S. Orsola-Malpighi - Medicina Interna - Borghi
state: BO
city: Bologna
country: Italy
facility: Ospedale Bellaria - U.O. Di Cardiologia
state: BO
city: Brindisi
country: Italy
facility: Ospedale Perrino - U.O.C. Di Cardiologia
state: BR
city: Brescia
country: Italy
facility: Spedali Civili - Cardiologia
state: BS
city: Brescia
country: Italy
facility: Istituto Osped. Fondazione Poliambulanza - Unita' Operativa Di Cardiologia
state: BS
city: Gavardo
country: Italy
facility: Ospedale Civile 'La Memoria' - U.O. Di Cardiologia
state: BS
city: Lumezzane
country: Italy
facility: Ics Maugeri Spa Societa' Benefit - U.O. Di Cardiologia Riabilitativa
state: BS
city: Barletta
country: Italy
facility: Ospedale Monsignor Angelo R. Di Miccoli - Unita' Operativa Di Cardiologia
state: BT
city: Bisceglie
country: Italy
facility: Ospedale Vittorio Emanuele Ii - Cardiologia
state: BT
city: Cagliari
country: Italy
facility: Azienda Ospedaliera G. Brotzu - Struttura Complessa Di Cardiologia
state: CA
city: San Felice A Cancello
country: Italy
facility: Ospedale Ave Gratia Plena - Uosd Riabilitazione Cardiologica
state: CE
city: Santa Maria Capua Vetere
country: Italy
facility: Ospedale San Giuseppe E Melorio U.O.C. Cardiologia Utic
state: CE
city: San Fermo Della Battaglia
country: Italy
facility: Ospedale S. Anna - U.O.C. Di Cardiologia
state: CO
city: Crema
country: Italy
facility: Ospedale Maggiore - U.O. Cardiologia E Utic
state: CR
city: Cremona
country: Italy
facility: Ospedale Di Cremona - Uo Di Cardiologia
state: CR
city: Catania
country: Italy
facility: P.O. Garibaldi-Nesima - U.O.C. Di Cardiologia
state: CT
city: Catania
country: Italy
facility: P.O. Garibaldi Centro - U.O.C. Cardiologia
state: CT
city: Catania
country: Italy
facility: Policlinico Catania Po G. Rodolico - Ssd Scompenso Cardiaco Grave
state: CT
city: Lamezia Terme
country: Italy
facility: Ospedale Giovanni Paolo Ii - U.O. Cardiologia E Utic
state: CZ
city: Cesena
country: Italy
facility: Ospedale M.Bufalini - U.O. Di Cardiologia-Utic
state: FC
city: Forlì
country: Italy
facility: Ospedale G.B. Morgagni - L. Pierantoni - U.O. Cardiologia
state: FC
city: Ferrara
country: Italy
facility: Arcispedale Sant'Anna - U.O. Cardiologia - Utic
state: FE
city: Foggia
country: Italy
facility: Ospedali Riuniti - S.C. Di Cardiologia Univ.-Utic
state: FG
city: Empoli
country: Italy
facility: Ospedale Civile San Giuseppe - Cardiologia
state: FI
city: Firenze
country: Italy
facility: Ospedale Santa Maria Nuova - Hdu Cardiologica/Utic
state: FI
city: Firenze
country: Italy
facility: Ospedale San Giovanni Di Dio - Cardiologia
state: FI
city: Firenze
country: Italy
facility: Aou Careggi - Geriatria - Utig
state: FI
city: Fermo
country: Italy
facility: Ospedale Civile Augusto Murri - U.O. Cardiologia
state: FM
city: Genova
country: Italy
facility: Ospedale Policlinico San Martino - Unita' Operativa Cardiologia
state: GE
city: Genova
country: Italy
facility: Ospedale Villa Scassi - Sc Cardiologia Utic
state: GE
city: Genova
country: Italy
facility: Ospedale Padre Antero Micone - Sc Cardiologia - Utic
state: GE
city: Merate
country: Italy
facility: Ospedale San Leopoldo Mandic - Cardiologia - Ucc
state: LC
city: Copertino
country: Italy
facility: Ospedale San Giuseppe Da Copertino - U.O. Di Cardiologia-Utic
state: LE
city: Lido Di Camaiore
country: Italy
facility: Nuovo Ospedale Versilia - Sc Cardiologia
state: LU
city: Monza
country: Italy
facility: Ospedale San Gerardo - U.O. Cardiologia-Utic
state: MB
city: Monza
country: Italy
facility: Policlinico Di Monza - Uo Cardiol. Clinica E Scompenso Cardiaco
state: MB
city: Messina
country: Italy
facility: Policlinico G. Martino - U.O. Medicina Interna
state: ME
city: Legnano
country: Italy
facility: Ospedale Civile - Uo Cardiologia
state: MI
city: Milano
country: Italy
facility: Ospedale San Raffaele - Cardiologia Clinica
state: MI
city: Milano
country: Italy
facility: Centro Cardiologico Monzino - Cardiologia D'Urgenza
state: MI
city: Milano
country: Italy
facility: Ospedale San Carlo Borromeo - Cardiologia-Ucc
state: MI
city: Milano
country: Italy
facility: Asst Ospedale Metropolitano Niguarda - Diagnosi E Cure Terr. Malattie Cardiache
state: MI
city: Milano
country: Italy
facility: Asst Ospedale Metropolitano Niguarda - Cardiologia 1 - Emodinamica
state: MI
city: Milano
country: Italy
facility: Asst Ospedale Metropolitano Niguarda - Cardiologia 2 -Insuff. Card. E Trapianto
state: MI
city: Rho
country: Italy
facility: Presidio Ospedaliero Di Passirana - Uo Cardiologia Riabilitativa
state: MI
city: Rozzano
country: Italy
facility: Istituto Clinico Humanitas - U.O. Cardiologia Clinica
state: MI
city: Carpi
country: Italy
facility: Ospedale Ramazzini - U.O. Cardiologia
state: MO
city: Sassuolo
country: Italy
facility: Ospedale Di Sassuolo - Cardiologia
state: MO
city: Nuoro
country: Italy
facility: Ospedale San Francesco - Cardiologia - Utic
state: NU
city: Cefalù
country: Italy
facility: Fondazione G. Giglio - U.O. Cardiologia E Utic
state: PA
city: Piove Di Sacco
country: Italy
facility: Ospedale Civile Immacolata Concezione - Cardiologia E Utic
state: PD
city: Assisi
country: Italy
facility: Ospedale Di Assisi - Unita' Integrata Scompenso Cardiaco
state: PG
city: Città Di Castello
country: Italy
facility: Presidio Ospedaliero Citta' Di Castello - U.O. Di Cardiologia
state: PG
city: Perugia
country: Italy
facility: Ex Ospedale Grocco - Unita' Operativa Cres
state: PG
city: Perugia
country: Italy
facility: Azienda Ospedaliera Di Perugia - Cardiologia E Fisiopat. Cardiovascolare
state: PG
city: Pisa
country: Italy
facility: Ftgm - Stabilimento Di Pisa - Cardiologia E Medicina Cardiovascolare
state: PI
city: Pordenone
country: Italy
facility: Ospedale Di Pordenone - S.O.C. Cardiologia
state: PN
city: Montescano
country: Italy
facility: Ics Maugeri Spa Societa' Benefit - Divisione Di Cardiologia Riabilitativa
state: PV
city: Pavia
country: Italy
facility: Fondazione Irccs Policlinico San Matteo - Cardiologia
state: PV
city: Pavia
country: Italy
facility: Ics Maugeri Spa Societa' Benefit - U.O. Di Riabilitazione Cardiologica
state: PV
city: Ravenna
country: Italy
facility: Ospedale Civile Santa Maria Delle Croci - U.O. Di Cardiologia
state: RA
city: Correggio
country: Italy
facility: Ospedale Civile San Sebastiano - Sos Cardiologia Area Nord
state: RE
city: Guastalla
country: Italy
facility: Ospedale Civile - Sc Cardiologia Area Nord
state: RE
city: Reggio Emilia
country: Italy
facility: Arcispedale Santa Maria Nuova - S.C. Cardiologia
state: RE
city: Ragusa
country: Italy
facility: Ospedale M.P. Arezzo - U.O.C. Cardiologia-Utic
state: RG
city: Albano Laziale
country: Italy
facility: Aslrm6-Polo H2 Albano-Genzano - U.O.C. Di Cardiologia E Utic
state: RM
city: Anzio
country: Italy
facility: Ospedali Riuniti Anzio-Nettuno - U.O. Di Cardiologia - Utic
state: RM
city: Pomezia
country: Italy
facility: Policlinico Citta' Di Pomezia S. Anna - U.O. Cardiologia-Utic
state: RM
city: Roma
country: Italy
facility: P.O. San Filippo Neri - Asl Roma 1 - Uoc Cardiologia E Utic
state: RM
city: Roma
country: Italy
facility: Clinica Citta' Di Roma - Cardiologia-Utic
state: RM
city: Roma
country: Italy
facility: Ospedale San Camillo - Uoc Cardiologia 1
state: RM
city: Roma
country: Italy
facility: Policlinico Umberto Primo - Malattie Cardiovascolari A
state: RM
city: Roma
country: Italy
facility: Policlinico Casilino - U.O. Cardiologia
state: RM
city: Roma
country: Italy
facility: Ao San Giovanni Addolorata - Cardiologia E Riab. Cardiologica
state: RM
city: Roma
country: Italy
facility: Ospedale Santo Spirito - U.O.C. Di Cardiologia
state: RM
city: Riccione
country: Italy
facility: Ospedale G. Ceccarini - Cardiologia-Utic
state: RN
city: Rimini
country: Italy
facility: Ospedale Infermi -U.O. Cardiologia
state: RN
city: Battipaglia
country: Italy
facility: Presidio Osped. S. Maria Della Speranza - U.O. Di Cardiologia
state: SA
city: Eboli
country: Italy
facility: Ospedale Maria Ss. Addolorata - U.O. Di Cardiologia Utic
state: SA
city: Salerno
country: Italy
facility: Aou S. Giovanni Di Dio-Ruggi D'Aragona - Cardiologia Interventistica - Emodinamic
state: SA
city: Poggibonsi
country: Italy
facility: Ospedale Dell'Alta Val D'Elsa Uosd Cardiologia-Utic
state: SI
city: Siena
country: Italy
facility: Aou Senese Ospedale S. Maria Alle Scotte - U.O.C. Cardiologia Ospedaliera
state: SI
city: Augusta
country: Italy
facility: Ospedale E. Muscatello - U.O. Di Cardiologia - Utic
state: SR
city: Avola
country: Italy
facility: Ospedale G. Di Maria - Cardiologia Utic
state: SR
city: Lentini
country: Italy
facility: P.O. Lentini - U.O. Di Cardiologia Con Utic
state: SR
city: Teramo
country: Italy
facility: Ospedale Civile G. Mazzini - Cardiologia Utic Ed Emodinamica
state: TE
city: Ciriè
country: Italy
facility: Por Cirie'- Lanzo Presidio Cirie' - S.C. Cardiologia Cirie'- Ivrea
state: TO
city: Ivrea
country: Italy
facility: Ospedale Civile - S.C. Cardiologia Cirie' Ivrea
state: TO
city: Moncalieri
country: Italy
facility: Ospedale Santa Croce - Cardiologia
state: TO
city: Orbassano
country: Italy
facility: Ospedale San Luigi Gonzaga - S.C.D.O. Cardiologia
state: TO
city: Torino
country: Italy
facility: Ospedale Mauriziano Umberto I - Sc Cardiologia
state: TO
city: Torino
country: Italy
facility: Maria Pia Hospital - Uo Medicina
state: TO
city: Torino
country: Italy
facility: Ospedale Giovanni Bosco - Sc Cardiologia
state: TO
city: Trieste
country: Italy
facility: Asui Trieste - S.C. Centro Cardiovascolare
state: TS
city: Trieste
country: Italy
facility: Ospedali Riuniti - Osp. Cattinara - S.O.C. Cardiologia
state: TS
city: Treviso
country: Italy
facility: Ospedale Ca' Foncello - U.O.C. Cardiologia
state: TV
city: Udine
country: Italy
facility: Pou Santa Maria Della Misericordia - S.O.C. Cardiologia
state: UD
city: Busto Arsizio
country: Italy
facility: Ospedale Di Circolo Di Busto Arsizio - Uoc Cardiologia Utic Emodinamica
state: VA
city: Gallarate
country: Italy
facility: Ospedale S. Antonio Abate - U.O. Di Cardiologia
state: VA
city: Saronno
country: Italy
facility: Presidio Ospedaliero Di Saronno - U.O.C. Di Cardiologia
state: VA
city: Varese
country: Italy
facility: Ospedale Di Circolo E Fondazione Macchi - Cardiologia I
state: VA
city: Chioggia
country: Italy
facility: Ospedale Civile - U.O.C. Cardiologia
state: VE
city: Mirano
country: Italy
facility: Ospedale Civile - U.O. Cardiologia
state: VE
city: Arzignano
country: Italy
facility: Ospedale Civile - U.O.C. Cardiologia
state: VI
city: San Bonifacio
country: Italy
facility: Ospedale G. Fracastoro - U.O.C. Di Cardiologia
state: VR
city: Vibo Valentia
country: Italy
facility: Ospedale Civile G. Jazzolino - U.O. Cardiologia - Utic
state: VV
city: Frattamaggiore
country: Italy
facility: Ospedale San Giovanni Di Dio - Uo Cardiologia - Utic
city: Giugliano In Campania
country: Italy
facility: Ospedale Generale Di Zona - U.O. Cardiologia - Utic
city: Napoli
country: Italy
facility: Aou Federico Ii - Uoc Cardiologia E Utic
city: Nola
country: Italy
facility: Pres. Ospedaliero S. Maria Della Pieta' - U.O. Cardiologia E Utic
city: Pescia
country: Italy
facility: Ospedale Della Val Di Nievole - U. O. Cardiologia - Utic
city: Pistoia
country: Italy
facility: Ospedale San Jacopo - U.O. Cardiologia
city: San Giuseppe Vesuviano
country: Italy
facility: Casa Di Salute Santa Lucia - U.O. Cardiologia
Study officials:
References: