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Pragmatic trial of messaging to providers about treatment of acute heart failure: The PROMPT-AHF trial.

Author: AhmadTariq, DesaiNihar R, FueryMichael, GhaziLama, HuangJoanna, InzucchiSilvio E, McDermottJames, O'ConnorKyle, OlufadeTemitope, RielloRalph J, SamskyMarc, SenSounok, VelazquezEric J, WilsonFrancis Perry, YamamotoYu

Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.
Multicenter StudyResearch conducted in collaboration with multiple research institutions. It aims to collect a wide range of data and obtain more generalizable results.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Pragmatic Clinical TrialA trial conducted in a real-world clinical setting. It evaluates the effectiveness of interventions in everyday healthcare environments.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Overview

Acute heart failure (AHF) is a significant cause of hospitalization in the United States, resulting in high healthcare costs, morbidity, and mortality. Guideline-directed medical therapy (GDMT) is recommended for patients with heart failure with reduced ejection fraction (HFrEF) to decrease the risk of cardiovascular death or HF hospitalization. However, GDMT is frequently underutilized before discharge, representing a missed opportunity to optimize care. The PRagmatic Trial Of Messaging to Providers about Treatment of Acute Heart Failure is an open-label, multicenter, pragmatic randomized controlled trial evaluating the effectiveness of an electronic health record embedded clinical decision support system that informs providers about indicated but not yet prescribed GDMT for eligible AHF patients with HFrEF.
Paper Details　
Original Abstract of the Article :
Acute Heart failure (AHF) is among the most frequent causes of hospitalization in the United States, contributing to substantial health care costs, morbidity, and mortality. Inpatient initiation of guideline-directed medical therapy (GDMT) is recommended for patients with heart failure with reduced ...See full text at original site
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引用元：
https://doi.org/10.1016/j.ahj.2022.12.002

データ提供：米国国立医学図書館（NLM）

Improving Acute Heart Failure Management: A Camel's Quest for Better Care

Acute heart failure (AHF) is a serious condition that requires prompt and effective treatment. Imagine a camel caravan traversing a vast desert, where one camel suddenly develops a heart problem, requiring immediate attention. This research investigates the potential of a clinical decision support system to improve the management of AHF patients with reduced ejection fraction (HFrEF) by promoting the use of guideline-directed medical therapy (GDMT).

Improving GDMT Adherence in AHF Patients

The study explores the effectiveness of an electronic health record-embedded clinical decision support system in promoting the prescription of GDMT for AHF patients with HFrEF. This is like providing a skilled guide to the caravan, ensuring that each camel receives the appropriate care and treatment. The study aims to increase the proportion of patients receiving GDMT at the time of discharge, ultimately improving outcomes.

Enhancing Patient Care and Reducing Morbidity

The study highlights the potential of using electronic health record-based clinical decision support systems to enhance patient care. This is like creating a map that guides healthcare providers to the best possible treatment options, leading to more optimal patient outcomes. By promoting GDMT adherence, the study aims to reduce the risk of cardiovascular death and heart failure hospitalization.

Dr. Camel's Conclusion

This research emphasizes the importance of using technology to improve patient care, particularly in managing complex conditions like acute heart failure. By promoting the use of evidence-based therapies and streamlining care processes, we can help ensure a smoother and safer journey for those navigating the desert of heart failure.

Date :
  1. Date Completed 2023-02-17
  2. Date Revised 2023-05-09
Further Info :

Pubmed ID

36493842

DOI: Digital Object Identifier

10.1016/j.ahj.2022.12.002

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English

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