Unique ID issued by UMIN | UMIN000034166 |
---|---|
Receipt number | R000038923 |
Scientific Title | Determination of face-to-face medical care intervals for Adaptive Servo Ventilation (ASV) therapy with remote monitoring system in patients with chronic heart failure |
Date of disclosure of the study information | 2018/09/18 |
Last modified on | 2018/09/16 03:50:24 |
Determination of face-to-face medical care intervals for Adaptive Servo Ventilation (ASV) therapy with remote monitoring system in patients with chronic heart failure
Determination of face-to-face medical care intervals for ASV therapy with remote monitoring system
Determination of face-to-face medical care intervals for Adaptive Servo Ventilation (ASV) therapy with remote monitoring system in patients with chronic heart failure
Determination of face-to-face medical care intervals for ASV therapy with remote monitoring system
Japan |
Chronic herart failure
Cardiology | Pneumology |
Others
NO
To test the hypothesis that it is possible to keep the treatment adherence for Adaptive Servo Ventilation (ASV) therapy in patients with chronic heart failure by using the remote monitoring system while the face-to-face medical care intervals are extended.
Efficacy
Change in treatment adherence for Adaptive Servo Ventilation (ASV) therapy
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Device,equipment |
During six months, we review the usage data of ASV therapy (the rate of days of ASV usage with four or more hours per day, the average usage time, the average apnea hypopnea index (AHI) per month) monthly by the remote monitoring system. We give the study subjects guidance through face-to-face medical cares every three months. At the months without face-to-face medical cares, we give the patients guidance through telemedicine.
20 | years-old | <= |
Not applicable |
Male and Female
We recruit outpatients having chronic heart failure (NYHA grade 2 or more) and receiving ASV therapy. Patients can be included regardless of the indication for ASV therapy as far as they have already received ASV therapy and monthly or bimonthly face-to-face medical cares for three or more months at the outpatient setting, under the coverage by the national insurance service in Japan.
At the time of enrollment, the usage data of ASV therapy within the preceding 28 days are necessary. Any remote monitoring system and any supplier and provider of the system are acceptable as far as the system can monitor the usage data of ASV therapy and has started to work at the time of baseline (the start of study).
Patients can be included only when there has been no change in medication for heart failure within the previous three months and no admission for heart failure within the previous six months.
Patients are excluded when 1) they have cognitive impairment, 2) they have any history of cerebrovascular disease with residual neurological disabilities, 3) they need to receive monthly or more frequent face-to-face medical cares for ASV management from the same physicians, 4) they have been already scheduled for hospitalization during the study periods, 5) they have been already scheduled for changing treatment for heart failure, 6) they need to receive monthly or more frequent face-to-face medical cares for other reasons than domiciliary oxygen therapy management from the same physicians, 7) they have any active malignant neoplasm, 8) they are receiving chronic hemodialysis, or 9) they are receiving domiciliary oxygen therapy.
61
1st name | |
Middle name | |
Last name | Kazuo Chin |
Kyoto University, Graduate School of Medicine
Department of Respiratory Care and Sleep Control Medicine
54 Shogoin-kawaracho, Sakyo-ku, Kyoto
075-751-3852
chin@kuhp.kyoto-u.ac.jp
1st name | |
Middle name | |
Last name | Kimihiko Murase |
Kyoto University, Graduate School of Medicine
Department of Respiratory Care and Sleep Control Medicine
54 Shogoin-kawaracho, Sakyo-ku, Kyoto
075-751-3852
enkaku@kuhp.kyoto-u.ac.jp
Department of Respiratory Care and Sle ep Control Medicine, Kyoto University, Graduate School of Medicine
Ministry of Health, Labour and Welfare
Japanese Governmental office
NO
2018 | Year | 09 | Month | 18 | Day |
Unpublished
Preinitiation
2018 | Year | 09 | Month | 16 | Day |
2018 | Year | 12 | Month | 01 | Day |
2018 | Year | 09 | Month | 16 | Day |
2018 | Year | 09 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000038923