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Telemedicine team support for vulnerable patients with heart failure

Studies a telemedicine care model for frail people with heart failure who are often readmitted.

Plain-language title generated from the registry record
Registry title: The Cardio-share Telemedicine Cross-sector Collaboration Model for Managing Vulnerable Patients With Heart Failure

Key facts

Where
Frederiksberg, DenmarkSee the site

Where in Denmark

  • Cardiology department Y, Bispebjerg-Frederiksberg HospitalFrederiksberg, DenmarkTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
University Hospital Bispebjerg and Frederiksberg
Trial code
NCT06176131
Record updated
16 January 2026
Original description
The goal of this observational study is to explore the potential of implementing a telemedicine-based cross-sector collaboration model to manage patients with frequent admissions with decompensated heart failure. The main question(s) it aims to answer are:Read full original descriptionShow less

Implementering af Cardiostafet tværsektoriel Samarbejdsmodel Med Telemedicin for Udsatte Patienter Med Hjertesvigt Som Ikke Kan Deltage i Hjerterehabilitering

The goal of this observational study is to explore the potential of implementing a telemedicine-based cross-sector collaboration model to manage patients with frequent admissions with decompensated heart failure. The main question(s) it aims to answer are:

* Characterization of conditions that make these patients vulnerable * Description of key-elements that makes possible to manage the patients with the cardio-share model

Participants are:

* Patients - will be helped to use the available telemedicine tools * General Practitioners - will be offered teleconferences with cardiologists (chat and video) on demand * Community health workers (caregivers at the patient home or in elderly home) - will be guided to assist the patients to use the available telemedicine tools Researchers will compare readmission rates (primary outcome) and quality of life of patients where the cardio-share management model is successfully implemented one year before and after the implementation.

Inclusion: Patients admitted with acute decompensated heart failure AND:; with previous admission with decompensated heart failure in the three-month period prior to the current admission or; who have two or more admissions in the 6 months prior to the current admission.

Exclusion: Patients who; have refused to share their data for health-quality projects; have already ongoing telemedicine management for heart failure.

ClinicalTrials.gov NCT06176131