A Study of Paramedic HF Management
Community Paramedic Heart Failure Management (CP-HF) Program
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Mentioned in the study description
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Mentioned in the study description
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This study tests whether home visits from community paramedics help people with heart failure stay out of the hospital and feel better than with usual care. It is for people with worsening or advanced heart failure, a condition in which the heart does not pump blood well.
The purpose of this research is to see if having community paramedic (CP) visit patients at home to manage their heart failure help them stay out of the hospital and improve their overall health compared to standard care. The investigators want to find out if their approach is better for patients in terms of their quality of life, hospital stays, emergency visits, and cost. The investigators are also looking to see how happy patients and doctors are with this method and if it's a practical and sustainable option for the future.
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- You must meet at least one of the following:
- You are an adult in the hospital for worsening heart failure and can go home early with paramedic support and checks.
- You have worsening heart failure at home or at a clinic and need treatment to remove a lot of extra fluid, but do not need hospital-level checks.
- You have very advanced heart failure, called stage D, and need changes to your water pills more than once a week, in or out of the hospital.
Who can't join
- You need hospital-level care or checks.
- You do not pass a safety check, have active substance abuse, or have a mental or behavioral health condition that could affect taking part.
- You are in hospice care.
- You live in a skilled nursing facility.
- You do not have a primary care doctor or heart doctor at Mayo Clinic.
- An illness or problems with thinking or memory make it hard for you to communicate.
- You are pregnant.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Inclusion Criteria: One of the following criteria: 1. Adults admitted to the hospital with decompensated HF eligible for early discharge with CP support and monitoring. 2. Acutely decompensated HF patients at home or being evaluated in the ambulatory clinic who require large volume diuresis but do not require hospital-level monitoring. 3. Stage D advanced HF patients who require frequent (\>weekly) diuretic adjustments (either inpatient or outpatients). Exclusion Criteria: 1. Hospital-level monitoring or care is clinically indicated. 2. Failed safety assessment, active substance abuse, or behavioral health diagnosis which could impact participation. 3. Enrolled in hospice. 4. Patient is a resident in a skilled nursing facility. 5. Patient does not have a primary care physician or cardiologist at Mayo Clinic. 6. Patient participants with communication barriers due to medical illness or cognitive impairment. 7. Pregnant
Study sites (1)
MN
- Mayo Clinic · Rochester, MN 55905Sara Severson, APRN, C.N.P. · Study contactMore trials in Rochester