Clinical trial NCT06853353: Nurse-led Consultations in Heart Failure Within the 'FIL-EAS' Evaluation and Support Care Pathway for Heart Failure Patients
Official title: Nurse-led Consultations in Heart Failure Within the 'FIL-EAS' Evaluation and Support Care Pathway for Heart Failure Patients
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Chronic Heart Failure
Keywords: Chronic heart failure
Nurse
Heart Failure Nurse Specialists
Advanced practice nursing
Treatment titration
Care pathway
Lead sponsor: Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer
Sponsor class: OTHER
First posted: 2025-02-28
Enrollment: 200
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Adult patient seen in nurse-led consultations for heart failure between January 1, 2023 and December 31, 2023

Brief summary: The management of chronic heart failure, following current guidelines, requires the implementation and adjustment of therapies to limit mortality and morbidity associated with disease progression. However, this period of treatment titration remains challenging due to the need for multiple, closely spaced consultations. The difficulty in maintaining this consultation frequency, coupled with the current decline in medical demographics, largely explains the lack of treatment titration or even initiation and the existing therapeutic inertia. Concurrently, medical telemonitoring is emerging as an essential tool in heart failure management, offering significant benefits for both patients and healthcare professionals.

In this context, new forms of nursing practices have emerged, such as advanced practice nursing, aimed at improving the care of patients with chronic diseases. However, only limited data are currently available regarding the functioning and impact of these consultations in France.

The "Evaluation and Support Pathway for Heart Failure Patients (FIL-EAS ic)" has systematically integrated this new model of consultations provided by heart failure nurse specialists. Given their significant and growing role within the pathway, it appears necessary to thoroughly evaluate these consultations to propose improvements and maximize their effectiveness.


Eligibility criteria: Inclusion Criteria:

* Aged 18 years old or over
* Patient seen in nurse-led consultations for heart failure between January 1, 2023 and December 31, 2023

Exclusion Criteria:

* Patient opposition to participate in the study

Primary outcomes:
measure: Type of consultation
timeFrame: 1-year period
measure: Patient's medical history
timeFrame: 1-year period
measure: Treatments implemented
timeFrame: 1-year period
measure: Number of consultations
timeFrame: 1-year period
measure: Number of hospitalizations
timeFrame: 1-year period
Secondary outcomes:
measure: Type of referral
timeFrame: 1-year period
measure: Reason for discontinuation of titration consultation
timeFrame: 1-year period
measure: Left ventricular ejection fraction (LVEF)
timeFrame: 1-year period
measure: Modification of recommended treatment doses
timeFrame: 1-year period
measure: Rate of detection of iron deficiency
timeFrame: 1-year period
Other outcomes:
Locations:
city: Toulon
country: France
facility: Centre Hospitalier Intercommunal Toulon La Seyne sur Mer
state: Var
Study officials:
affiliation: Centre Hospitalier Intercommunal Toulon La Seyne sur Mer
name: Mathilde LE CAIGNEC, Nurse
role: STUDY_DIRECTOR
affiliation: Centre Hospitalier Intercommunal Toulon La Seyne sur Mer
name: Jocelyne CANDEL, Advanced Practice Nurse
role: STUDY_DIRECTOR
References: