Study Type
Observational
The goal of the PACT-HF study was for all patients hospitalized with heart failure (HF), in 10 large hospitals in Canada, to receive self-care education, multidisciplinary care services, and early follow-up with their primary health care providers; and for high-risk patients to receive nurse-led home visits and outpatient care in heart function clinics following hospital discharge.
We redesigned workflow to integrate health care services across institutions and regional networks that typically work independently of each other.
We obtained clinical outcomes via linkages to provincial administrative databases, analyzing them using shared frailty survival models adjusted for the stepped wedge design.
We analyzed secondary outcomes using hierarchical models adjusted for the stepped wedge design. We applied the Intention-to-treat principle for all analyses.
Primary outcomes:
Secondary outcome:
Observational
Stepped wedge cluster RCT
1
10
2494
2015-2016
PHRI
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