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Re-evaluate inclusion/exclusion criteria
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Patients with Congestive Heart Failure (CHF) on non-Intensive Care Unit medical services and/or visiting our outpatient Congestive Heart Failure Clinic will be screened using the STOP-BANG Scoring Model. (STOP-BANG stands for Snoring, Tiredness, Observed Apnea, Blood Pressure, Body Mass Index, Age, Neck Circumference, Gender.) Patients with high risk of Obstructive Sleep Apnea (OSA) will be referred for evaluation and treatment of Sleep Apnea. They will be followed to determine if treatment of Sleep Apnea improves their quality of life and decreases their utilization of the Hospital and Emergency Department (ED).
Patients with Congestive Heart Failure on non-Intensive Care Unit Medical Services and/or visiting our outpatient Congestive Heart Failure clinic will be screened using the STOP-BANG Scoring Model. Patients with high risk of Obstructive Sleep Apnea will be referred to the Sleep Center physicians for evaluation and treatment. Patients will be followed for one year to determine if the treatment for Sleep Apnea improves their Quality of Life and decreases Hospital and Emergency Department utilization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with Congestive Heart Failure | Other | STOP-BANG Scoring Model Polysomnogram Sleep Study |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| STOP-BANG Scoring Model | Other | Patients with Congestive Heart Failure on non-Intensive Care Unit Medical Services and/or visiting our outpatient Congestive Heart Failure Clinic will be administered the STOP-BANG Scoring Model to determine whether they are considered high-risk or low-risk for Sleep Apnea. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Hospital Admissions | Compare the number of Hospital Admissions during the 12-month period immediately prior to the index admission to the number of Hospital Admissions during the 12-month period immediately following the study intervention | |
| Number of Hospitalized Days | Compare the number of Hospitalized Days during the 12-month period immediately prior to the index admission to the number of Hospitalized Days during the 12-month period immediately following the study intervention | |
| Number of Emergency Department Visits | Compare the number of Emergency Department Visits during the 12-month period immediately prior to the index admission to the number of Emergency Department Visits during the 12-month period immediately following the study intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Epworth Sleepiness Scale | Chance of Dozing Off - Scale: Never, Slight, Moderate, High | Change from Baseline to 6 weeks |
| Epworth Sleepiness Scale | Chance of Dozing Off - Scale: Never, Slight, Moderate, High |
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Inclusion criteria:
Patient has:
CHF (systolic, diastolic, any etiology), or
Normal Ejection Fraction (EF) and most recent:
Normal EF, no BNP done, and CHF documented in History or Problem List
Admitted to the Hospital Medicine service, General Medicine Teaching service, Medicine Cardiology Team (MCT) service, Heart Failure service, or Community Health and Family Medicine (CHFM) service, OR Patient of the Congestive Heart Failure Clinic
Patient has had at least 2 encounters (hospital inpatient admission, hospital observation admission, or ED visit) with University of Florida (UF) Health during the 12-month period immediately prior to the current admission (not including the current admission).
English Speaking
Males & Females
Age 18 to 110
Agreement to return to Gainesville for regular follow-up visits
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robert Leverence, M.D. | University of Florida | Principal Investigator |
| Nila Radhakrishnan, M.D. | University of Florida | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Florida | Gainesville | Florida | 32611 | United States |
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| ID | Term |
|---|---|
| D020181 | Sleep Apnea, Obstructive |
| D012891 | Sleep Apnea Syndromes |
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
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| Polysomnogram Sleep Study | Other | Patients determined by the STOP-BANG Scoring Model to be high-risk for Sleep Apnea will be referred to the Sleep Center physicians for evaluation and treatment. If medically indicated, a Polysomnogram Sleep Study will be performed. |
|
| Change from Baseline to 12 months |
| Functional Outcome of Sleep Quality | Level of Difficulty Performing Everyday Activities - Scale: Don't do this activity, No difficulty, A little difficulty, Moderate difficulty, Extreme difficulty | Change from Baseline to 3 months |
| Functional Outcome of Sleep Quality | Level of Difficulty Performing Everyday Activities - Scale: Don't do this activity, No difficulty, A little difficulty, Moderate difficulty, Extreme difficulty | Change from Baseline to 12 months |
| Residual Apnea Hypopnea Index | This is a data download from the Continuous Positive Airway Pressure machine, indicating the effectiveness of the patient's breathing while wearing the machine. | at 6 weeks |
| Epworth Sleepiness Scale | Chance of Dozing Off - Scale: Never, Slight, Moderate, High | Change from Baseline to 3 months |
| Functional Outcome of Sleep Quality | Level of Difficulty Performing Everyday Activities - Scale: Don't do this activity, No difficulty, A little difficulty, Moderate difficulty, Extreme difficulty | Change from Baseline to 6 weeks |
| Residual Apnea Hypopnea Index | This is a data download from the Continuous Positive Airway Pressure machine, indicating the effectiveness of the patient's breathing while wearing the machine. | at 3 months |
| Residual Apnea Hypopnea Index | This is a data download from the Continuous Positive Airway Pressure machine, indicating the effectiveness of the patient's breathing while wearing the machine. | at 12 months |
| % of nights with greater than 4 hours use of Continuous Positive Airway Pressure | Compliance for a given night would be 4 hours use or more. | at 6 weeks |
| % of nights with greater than 4 hours use of Continuous Positive Airway Pressure | Compliance for a given night would be 4 hours use or more. | at 3 months |
| % of nights with greater than 4 hours use of Continuous Positive Airway Pressure | Compliance for a given night would be 4 hours use or more. | at 12 months |
| D020920 |
| Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |