Reaching the Frail Elderly for the Management of Atrial Fibrillation (REAFEL)
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|ClinicalTrials.gov Identifier: NCT04162548|
Recruitment Status : Recruiting
First Posted : November 14, 2019
Last Update Posted : July 10, 2020
The overall objective of the project is to develop a collaboration model between the patient, the patient's General Practitioner (GP) and the cardiologist at the hospital in a seamless collaborative model dubbed the "Cardio-relay model".
The specific purpose of the pilot project is to ease performing heart rhythm monitoring with focus on diagnosis and evaluation of atrial fibrillation (AF), for patients who have difficulties to attend repeated visits to the hospital-based outpatient clinic.
With available eHealth technologies the cardiologist can access data gathered at the patient's side to provide support to the GP for selecting patients with need for heart rhythm monitoring, plan further evaluations and guide therapeutic decisions. These patients can thereby receive support that without the burden of attending physical meetings at the cardiologist office. The investigators evaluate if the cardio-relay model allows to complete evaluation of frail patients compared to usual care and if patients experience are sufficiently confident accessing the cardiologist through the cardio-relay model.
|Condition or disease|
|Study Type :||Observational|
|Estimated Enrollment :||50 participants|
|Official Title:||Reaching the Frail Elderly for the Management of Atrial Fibrillation|
|Actual Study Start Date :||March 1, 2020|
|Estimated Primary Completion Date :||February 28, 2021|
|Estimated Study Completion Date :||February 28, 2021|
"Cardio-relay" is a novel collaboration model between hospital-based specialists and primary care, to provide high-quality care to frail patients, relieving their burden to attend multiple hospital specialist visits.
Using telemedicine, it is possible to make measurements where the patient is (at the family clinic at the patient's home). Data are available for all the involved. That is, primary the patient, the relatives and caregivers that the patient wishes help from and health professionals from the family clinics and the hospital. Thereby, the hospital-based specialist supports the family clinic with expert knowledge, the need for attending the hospital facilities reduced to focus on what is strictly needed as specialized provider. Ultimately, the patient can be reached for high-quality care, relieving the patient's burden to attend multiple hospital specialist visits.
- Time to diagnosis conclusion [ Time Frame: six months follow-up ]Completion of evaluation for definite or rule-out diagnosis within six weeks in 90% of patients included in the intervention arm compared to 70% within six weeks
- Identification of population that benefits with the cardio-relay model [ Time Frame: six months follow-up ]patient satisfaction measured with focused interviews
- Number of referrals [ Time Frame: six months follow-up ]Explorative analysis on number of referrals to the cardiology outpatient clinic
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04162548
|Contact: Helena DOMINGUEZ, MD, PhDemail@example.com|
|Contact: Anne Frølich, Professor||+4527121622|
|Study Chair:||Helena DOMINGUEZ, MD, PhD||Frederiksberg hospital|