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Integrated Cardiac Care and Palliative Homecare for Patients With Severe Heart Failure

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Chronic Heart Failure

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Trial Information

Integrated Cardiac Care and Palliative Homecare for Patients With Severe Heart Failure

Inclusion Criteria

Patients with a confirmed diagnosis in accordance with the criteria proposed by the
European Society of Cardiology and with NYHA III-IV symptoms. And at least one of
following criteria;

1. At least one episode of worsening heart failure that resolved with injection /
infusion of diuretics or the addition of other heart failure treatment in the last 6
months and regarded optimally treated according to the responsible physician.

2. Need for infusions-treatment.

3. Chronic poor quality of life (VAS < 50)

4. Signs of cardiac cachexia (involuntary non-oedematous weight loss ≥ 6% of total body
weight within the last 6-12 months)

5. less than one year life expectancy.

Exclusion Criteria:

Ineligible are patients:

1. who do not want to participate in the study;

2. with severe communication problems;

3. with severe dementia;

4. with other serious disease in which heart failure is of secondary importance;

5. with other life-threatening illness as the primary diagnosis with expected short

6. when the Primary Care Center which is responsible for patient care is geographically
located from more than 30 km radius outside the hospital; and

7. participating in another clinical trial. -

Type of Study:


Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Outcome Measure:

changes from baseline values of symptom scores on the the Edmonton assessment scale (ESAS) after intervention of 4, 12 and 24 weeks

Outcome Time Frame:

baseline and after 4, 16 and 24 weeks

Safety Issue:



Sweden: Regional Ethical Review Board

Study ID:




Start Date:

January 2011

Completion Date:

April 2013

Related Keywords:

  • Chronic Heart Failure
  • Heart failure
  • Palliative care
  • Integrated care
  • Heart Failure