NCT06445231

Echocardiography in Nursing Home

Implementation and Effectiveness of Screening Echocardiography Performed in Nursing Home: ECHOGER

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,050 (estimated)
• Sponsor: Nantes University Hospital · Academic / Other
• Sex: All
• Age: 65 Years
• Healthy volunteers: Accepted

Summary

The study seeks to explore the implementation characteristics (acceptability, appropriateness, feasibility, adoption, fidelity, penetration, implementation cost and sustainability) of systematic echocardiography in nursing homes and its impact on rates of heart failure flare-up and unscheduled hospitalization at 12 months among included nursing homes.

Detailed description

Open-label cluster randomized type 1 hybrid trial, with 2 parallel arms: nursing homes will be randomized in the interventional (echocardiography by sonographer) or non-interventional arms (usual care). In the interventional arm echocardiography will be proposed to all residents of the nursing home at baseline. Clinical management will be adapted to the result of echocardiography by the general practitioner, in accordance with the cardiologist. The main objective is to assess the impact at 12 months of the initial performance of a systematic simplified echocardiography on the rate of nursing home residents presenting with heart failure episode or cardiovascular pathology. The Primary endpoint is the number of nursing home residents presenting a heart failure episode or an unscheduled hospitalization for heart failure or other cardiovascular pathologies at 12 months. Thirty nursing homes and 1050 residents will be included overall

Conditions

• Heart Diseases
• Heart Failure
• Heart Valve Diseases

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	Implementation of echocardiography in nursing homes	An ultrasound will be carried out in the EHPAD, the result of which will be interpreted by a cardiologist then sent to the establishment and the attending physician with instructions to follow.

Timeline

• Start date: 2024-10-02
• Primary completion: 2028-01-01
• Completion: 2030-01-01
• First posted: 2024-06-06
• Last updated: 2025-12-03

Locations

1 site across 1 country: France