Better Effectiveness After Transition - Heart Failure
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"This study hopes to help patients with heart failure after they leave the hospital. It tests new approach to the hospital discharge process."
Age: 50 years or older
Type: Other study
This study hopes to help patients with heart failure after they leave the hospital.

The study team will compare the standard hospital discharge process with a new approach.

The new method involves telephone calls from one of our nurses after your discharge. You will also receive a device that sends important information back to the hospital. This information includes your heart rate, blood pressure, and weight.
This study requires

If you volunteer to take part in this study, the study team will ask you to do the following:

We will randomly determine which group you will be assigned to. One group will receive our standard hospital discharge process. The second group will receive: - extra assistance with the discharge process - telephone calls from one of our nurses after discharge - a device you can take home with you that can send information about your heart rate, blood pressure, and weight back to the hospital.

We will ask you to complete a baseline survey after you enroll in the study. You will also complete a telephone survey 3 times over the 6 months after your discharge. We will review your hospital records over the six months after your discharge.

After you have completed the 4th and final survey, your participation in the study has ended. You will be asked to return the devices to the research team using prepaid shipping materials.

Who can participate

Inclusion criteria:

  • patients hospitalized at any of the six medical centers who are being actively treated for heart failure.

Exclusion criteria:

  • patients who have previously received a transplant, are being evaluated for a transplant, or who are on the wait list for a transplant,
  • patients who are enrolled or enrolling in hospice, or are expected to expire shortly after discharge,
  • patients with dementia,
  • patients who are admitted from a skilled nursing facility (SNF), or who we anticipate will be discharged to a long term stay in a SNF,
  • patients who do not have a working land line phone or reliable cell service,
  • patients on chronic dialysis,
  • patients who cannot identify a usual source of care (free clinic is acceptable) and who will not be assigned a provider upon discharge,
  • patients with the following cardiovascular conditions: patients with valvular disorders requiring surgical intervention (except for those with incidental valvular disease, who will be included), acute myocardial infarction (except for those with demand ischemia, who will be included), percutaneous coronary intervention
  • patients expected to enroll in hospice or expire after discharge,
  • patients who are unable to use the intervention equipment (e.g., unable to stand on the weight scale), or who are otherwise unable to comply with the intervention
Benefits and risks of participating

We cannot promise any benefits to you as a result of taking part in this research study.


The study doctor will discuss the risks associated with taking part in this research study.
You will receive $10 gift card for completing each of three telephone surveys. You will receive up to a total possible of $30 for completing three telephone surveys.
Study duration and period
You will be asked to complete a telephone survey three times over the six months after your discharge.
Recruitment period
From June 15, 2015
UC Davis Medical Center
2315 Stockton Boulevard
Sacramento, CA 95817
Clinical Trials Office
Research Topic
  • Heart Failure

Have any questions or want to learn more? Leave your contact details below and the research team will reach out to you.


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