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In Ghana, about 88.3 per cent of cardiac admissions are due to Heart failure, making it the leading cause of admission due to heart conditions. Despite improved knowledge on heart failure and an increasing array of evidence-based guideline treatment options, there is still a significant readmission rate worldwide. This may be due to the underutilization of these evidence-based therapies or a lack of proper follow-up on these patients. Recurrent hospital admission is an independent predictor of death in heart failure. Strategies aimed at providing increased support at discharge and effective follow-up may be associated with lower readmission risk. This study aims to assess the effect of extensive post-discharge counselling and effective phone-based follow-up on the 30-day and 90-day heart failure readmission rate at a tertiary hospital in Ghana. This is a single-centre, pilot randomised controlled trial of heart failure patients admitted to the Komfo Anokye Teaching Hospital
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control/Usual Care | No Intervention | The usual care (counselling by their attending physicians and their normal outpatient reviews). | |
| intervention arm | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Extensive post discharge counselling and phone-based follow up | Other | Counselling by their attending physicians plus Extensive post-discharge counselling from a study doctor/pharmacist/a trained nurse and telephone follow-ups in addition to their normal outpatient reviews. The telephone follow-ups will be weekly for the first 30 days and then 4 weekly till day 90. |
| Measure | Description | Time Frame |
|---|---|---|
| 30-day and 90-day heart failure readmissions between the intervention group and the control group. | 30-day and 90-day heart failure readmissions between the intervention group and the control group. | 90 days |
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Inclusion Criteria:
· Adults Aged 18 years and above
Exclusion Criteria:
· NHYA class I
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| SOLOMON GYABAAH | Contact | +233265763129 | solomongyabaah53@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Komfo Anokye Teaching Hospital | Recruiting | Kumasi | Ashanti Region | Ghana |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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