About this trial
The purpose of this study is to examine shorter hospitalization length as well as a reduced rates of recurrent heart failure hospitalization compared to current standard of care in Acute Decompensated Heart Failure. A 1-day reduction in hospital length of stay in unblinded subjects receiving daily HF-FOCUS examinations compared to a blinded standard of care arm.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects ≥18 years of age
Admitted to St. Mary's Hospital Cardiology Progressive Care Unit (Cardiology 1-5 teams)
Acute systolic heart failure
Acute on chronic systolic heart failure
Disqualifiers
Subjects <18 years of age
Unable to provide informed consent.
Unwilling to undergo daily lung ultrasound examinations.
Trial design
Parallel
Treatments tested in this trial
Lung Ultrasound
Diagnostic testPatients will undergo lung ultrasound assessments at hospital admission, daily throughout admission, and at hospital discharge.
Treatment groups
Trial outcomes
Primary outcomes
Number of days in the hospital
The number of days a patient is in the hospital will be determined by the day of admission and day of discharge. The day of discharge will be defined as when the consultant physician states that the patient is medically ready for discharge from the hospital.
Secondary outcomes
Number of re-hospitalized patients
Number of patients re-hospitalized will be determined by the number of patients admitted to the hospital post discharge
Number of deaths
Number of deaths will be determined by number of patient deaths due to any cause
Change in effective diuresis
Diuresis will be measured from a urine sample and calculated by total diuresis in liters/admission weight in kilograms
Change in diuretic dosing
Diuretic dosing will be measured in mg
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