Heart failure Stage | Symptoms Heart failure | Structural disorder of heart | Systolic dysfunction chronic | Left ventricular ejection fraction | Diastolic dysfunction | Left ventricle Compliance Decreased Echocardiography
Item
1. stage c heart failure,[34] which refers to past or current symptoms of heart failure with underlying structural heart disease. indicated by chronic systolic dysfunction (left ventricle [lv] ejection fraction < 45%), diastolic dysfunction (with echo evidence of diminished compliance of the lv), or both.
boolean
C0018801 (UMLS CUI [1,1])
C1306673 (UMLS CUI [1,2])
C1457887 (UMLS CUI [2,1])
C0018801 (UMLS CUI [2,2])
C1290384 (UMLS CUI [3])
C0749225 (UMLS CUI [4,1])
C0205191 (UMLS CUI [4,2])
C0428772 (UMLS CUI [5])
C0520863 (UMLS CUI [6])
C0225897 (UMLS CUI [7,1])
C0009563 (UMLS CUI [7,2])
C0205216 (UMLS CUI [7,3])
C0013516 (UMLS CUI [7,4])
Prophylactic treatment Decompensation | Diuretic therapy | Fluid restriction | Dietary sodium intake Restriction | Dietary sodium intake Reduction
Item
2. the patient's cardiologist has recommended or initiated one of the following to prevent decompensation: continuing diuretic treatment, fluid restrictions, and/or restriction/reduction of dietary sodium intake.
boolean
C0199176 (UMLS CUI [1,1])
C0231187 (UMLS CUI [1,2])
C0948575 (UMLS CUI [2])
C0204700 (UMLS CUI [3])
C0425433 (UMLS CUI [4,1])
C0443288 (UMLS CUI [4,2])
C0425433 (UMLS CUI [5,1])
C0392756 (UMLS CUI [5,2])
Participation Clinical Trial Family member Available
Item
3. a family member or members available for study participation with whom patient lives for at least 5 days a week. emphasis will be given to the closest family members available (i.e., spouse).
boolean
C0679823 (UMLS CUI [1,1])
C0008976 (UMLS CUI [1,2])
C0086282 (UMLS CUI [1,3])
C0470187 (UMLS CUI [1,4])
Informed Consent
Item
4. subjects are able to give informed consent (see below for exclusion due to well-documented dementia or evidence of cognitive impairment).
boolean
C0021430 (UMLS CUI [1])
Age
Item
5. patients will be age 50 or above. younger patients may have a different family environment than the most common type of patient who is the target of the fpi intervention.
boolean
C0001779 (UMLS CUI [1])
Dementia
Item
1. patient has a well-documented diagnosis of dementia
boolean
C0497327 (UMLS CUI [1])
Moderate cognitive impairment BOMC score | Severe cognitive impairment BOMC score
Item
2. moderate or greater cognitive impairment, based on the blessed test of orientation, memory, and concentration (bomc)[26] score of 16.
boolean
C3839816 (UMLS CUI [1,1])
C3838395 (UMLS CUI [1,2])
C3554639 (UMLS CUI [2,1])
C3838395 (UMLS CUI [2,2])
Family member BOMC score | Mild cognitive disorder | Moderate cognitive impairment | Severe cognitive impairment
Item
3. patient's family member has bomc score of 10 (i.e., mild or greater cognitive impairment).
boolean
C0086282 (UMLS CUI [1,1])
C3838395 (UMLS CUI [1,2])
C1270972 (UMLS CUI [2])
C3839816 (UMLS CUI [3])
C3554639 (UMLS CUI [4])
Lacking Able to use verbal communication | Visual Impairment Major | Hearing Loss uncorrected
Item
4. inability to communicate verbally, major visual impairment, uncorrected hearing loss.
boolean
C0332268 (UMLS CUI [1,1])
C2712064 (UMLS CUI [1,2])
C3665347 (UMLS CUI [2,1])
C0205164 (UMLS CUI [2,2])
C3887873 (UMLS CUI [3,1])
C4072785 (UMLS CUI [3,2])
Illicit Substance abuse | Illicit Substance abuse Family member | Alcohol abuse AUDIT-C | Alcohol dependence AUDIT-C
Item
5. patient and/or family member reports "frequent use" illicit substance abuse within the past year. scores on the audit-c 4 indicating alcohol abuse/dependence.[30]
boolean
C2697662 (UMLS CUI [1,1])
C0013146 (UMLS CUI [1,2])
C2697662 (UMLS CUI [2,1])
C0013146 (UMLS CUI [2,2])
C0086282 (UMLS CUI [2,3])
C0085762 (UMLS CUI [3,1])
C3871151 (UMLS CUI [3,2])
C0001973 (UMLS CUI [4,1])
C3871151 (UMLS CUI [4,2])
Schizophrenia | Schizoaffective Disorder | Schizophrenia Family member | Schizoaffective Disorder Family member
Item
6. patient or family member has a current diagnosis of schizophrenia spectrum psychiatric disorder (e.g., schizophrenia, schizoaffective disorder).
boolean
C0036341 (UMLS CUI [1])
C0036337 (UMLS CUI [2])
C0036341 (UMLS CUI [3,1])
C0086282 (UMLS CUI [3,2])
C0036337 (UMLS CUI [4,1])
C0086282 (UMLS CUI [4,2])
Feeling suicidal | Patient At risk Clinical
Item
7. patient indicates active suicidal ideation and evaluated as a clinical risk.
boolean
C0424000 (UMLS CUI [1])
C0030705 (UMLS CUI [2,1])
C1444641 (UMLS CUI [2,2])
C0205210 (UMLS CUI [2,3])
Participation Telehealth Program | Intervention Inconsistent
Item
8. patient is in the philadelphia vamc home-telehealth program or some other incompatible intervention.
boolean
C0679823 (UMLS CUI [1,1])
C1328956 (UMLS CUI [1,2])
C3484370 (UMLS CUI [1,3])
C0184661 (UMLS CUI [2,1])
C0442809 (UMLS CUI [2,2])
Medical condition Unstable Preventing Completion of clinical trial
Item
9. patient has an unstable medical condition that would likely prevent the subject from completing the study.
boolean
C3843040 (UMLS CUI [1,1])
C0443343 (UMLS CUI [1,2])
C1292733 (UMLS CUI [1,3])
C2732579 (UMLS CUI [1,4])