Patients with heart failure NYHA \>= II receiving non-emergent non-cardiac in-patient surgery will be randomized to receive either standard post-operative care (surgeon has to ask actively for specialist cardiological support) or a nurse-based heart failure management (nurses provide week-day support every day after surgery, if needed together with a heart failure doctor)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
525
cardiologists assist in treatment and provide heart failure guidance post-operatively if required by the treating surgeon
board-certified heart failure nurses provide heart failure guidance post-operatively on every working day
Goethe University Hospital
Frankfurt am Main, Hesse, Germany
ENROLLING_BY_INVITATIONKlinikum Goethe University
Frankfurt am Main, Germany
RECRUITINGcomposite endpoint of in-hospital heart failure-related complications (readmission on ICU, re-initiation of inotropic support, pleural effusion, pulmonary edema, pneumonia requiring antibiotic treatment, non-invasive or invasive ventilation)
severe heart-failure related clinical events during hospitalisation for non-cardiac surgery
Time frame: 30 days
days in hospital
total days in hospital for non-cardiac surgery
Time frame: 90 days
acute kidney injury
Acute kidney injury grade: 0 = Creatinine increase \< 1,5 x baseline, Stage 1 Creatinine increase \> 1,5 x baseline, Stage 2 Creatinine increase \> 2 x baseline, Stage 3 Creatinine increase \> 3 x baseline)
Time frame: 90 days
Qulity of Life by SF-12
repetitive assessment with SF-12
Time frame: 90 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.