Heart failure & cardiomyopathies
DASH-HF Study: A Pragmatic Quality Improvement Randomized Implementation Trial for Patients With Heart Failure With Reduced Ejection Fraction
Primary result · OPSResult — go to the resultAdjusted mean difference 0.3 95% CI −0.1 to 0.7Authors' conclusion
A dashboard-based clinic intervention did not improve the OPS or secondary outcomes of hospitalization and all-cause mortality.
Study context
- Population
- Veterans with HFrEF not on optimal guideline-directed medication therapy (optimization potential score (OPS) ≤5 of 10), Veterans Affairs (VA)
- Participants
- 300 veterans
- Comparison
- Proactive dashboard-directed telehealth clinics vs usual care
- Primary endpoint
- Optimization potential score (OPS), composite score of guideline-directed medical therapy
- Follow-up
- 6 months after the end of the intervention
Methodological detailspragmatic, quality improvement implementation trial
- Pragmatic
- Quality improvement implementation trial
Primary result
OPS · 6 months after end of intervention
Adjusted mean difference
0.3
95% CI −0.1 to 0.7
By group
Intervention
2.9
SD 2.1
Usual care
2.6
SD 2.1
Interventionvs Usual care
adjusted mean difference 0.3 (95% CI −0.1 to 0.7)
As reported in the abstract
Secondary outcomes
Hospitalization and all-cause mortality
- No significant difference between intervention and usual care
Original publication
DASH-HF Study: A Pragmatic Quality Improvement Randomized Implementation Trial for Patients With Heart Failure With Reduced Ejection Fraction. Circ Heart Fail. Published 26 July 2023. doi:10.
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