To investigate a developed methode to diagnose heart failure accurately in nursing home residents. The developed method have to be workable, should lay the foundation for further research and should lead to a first indication for the prevalence of…
ID
Source
Brief title
Condition
- Heart failures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The pilot will lead to a valid method for diagnosing heart failure in nursing
home residents and more insight in the actual prevalence of heart failure in
somatic nursing home residents. Furthermore it will lead to relevant
recommendations for improving daily practice of diagnosing and treating heart
failure. Ultimately this may result in a better quality of care for nursing
home residents with heart failure and contribute to their quality of life
(QoL).
Secondary outcome
not actual
Background summary
Heart failure is an important and increasing clinical problem in older people.
The problem of heart failure is expected to be particularly prevalent in the
nursing home population. Reliable data about heart failure in nursing home
residents are lacking because nursing home residents often are not included in
clinical and epidemiological studies. The geriatric profile of frail nursing
home residents is, next to their main diagnosis, characterized by a
considerable amount of co-morbidity and polypharmacy. They often show many
disabilities and because of that a high degree of care dependency.
Nursing home residents not seldom show an atypical presentation of clinical
symptoms, which makes it a real challenge to recognize, diagnose and treat
heart failure early and adequately.
Up until now, no studis have been conducted on the prevalence of heart failure
in Dutch nursing homes, as cardiovascular research in nursing homes still is in
its infancy.
Study objective
To investigate a developed methode to diagnose heart failure accurately in
nursing home residents. The developed method have to be workable, should lay
the foundation for further research and should lead to a first indication for
the prevalence of heart failure, as well as the relevant characteristics of
nursing home residents with heart failure ( including co-morbidity) and the
current way(s) of diagnosing and treating heart failure in the selected nursing
home.
Study design
In a pilot study several methods will be used to address the research questions
related to the objectives of the study. There will be a cross-sectional
prevalence measurement in a selected nursing home. Data will be collected from
actual clinical examinations of nursing home residents, assessments of blood
samples, patient records and questionaires.
Study burden and risks
There are no special risks for participating nursing home residents.The
clinical examination including a blood sample and an echocardiography are done
conform accepted guidelines to diagnose heart failure and part of daily
cardiologic diagnostic routine. Normally, it is good practice when all
residents are thoroughly examined. In this pilot study we only focus to
diagnose heart failure. This may lead to the benefit that an unknown heart
failure resident is detected. If so, adequate treatment for heart failure can
be started which may lead to a better prognosis and improvement of quality of
life.
Postbus 616
6200MD Maastricht
Nederland
Postbus 616
6200MD Maastricht
Nederland
Listed location countries
Age
Inclusion criteria
all residents aged over 65 years and staying on long term wards for chronic somatic care.
Exclusion criteria
residents who recieve palliative care
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL23691.068.08 |