Lagosanto

Researchers are conducting an observational, prospective, multicenter study in Italian cardiology centers to evaluate how well patients with Heart Failure with Reduced Ejection Fraction (HFrEF) follow guideline-recommended treatments. The study also aims to assess the safety of these treatments, monitor treatment patterns in patients with acute heart failure, and observe treatment approaches in all chronic heart failure patients regardless of their ejection fraction levels. The study involves two phases of educational interventions and data collection. Initially, healthcare providers will receive education on guideline recommendations and treatment patterns, followed by 3 months of patient data collection or up to 30 consecutive patients with chronic or acute heart failure. After 6 months, treatment modifications and outcomes will be evaluated. Then, a second educational session will highlight gaps between guidelines and practice, followed by another 3 months of data collection. Patients will be followed for 12 months total, with ongoing monitoring of treatment changes and outcomes. Participants will be assessed at enrollment and during the follow-up periods through clinical evaluations and data collection on treatment adherence and safety. The main outcome measured is adherence to guideline-directed medical therapies over 6 months. The study includes evaluations at 6 and 12 months after enrollment, with close monitoring of treatment patterns and patient health status throughout the study duration.

This research aims to evaluate whether telerehabilitation can be a valid alternative to in-person outpatient physiotherapy for patients recovering from arthroscopic rotator cuff repair surgery. The study focuses on comparing pain levels, recovery of range of motion, and shoulder functionality between the two treatment approaches during the first month after surgery. The study includes adults aged 40 to 70 years who have undergone this surgical procedure. Participants will be assigned to one of two groups. The control group will receive standard treatment consisting of eight in-person physiotherapy sessions over four weeks following surgery. The experimental group will receive eight telerehabilitation sessions conducted remotely over the same four-week postoperative period. Both treatments are provided by physiotherapists and aim to support recovery after surgery. Throughout the study, researchers will assess participants' shoulder function using the Constant-Murley Score at baseline, one month, and three months after treatment begins. Patient progress will be monitored to evaluate pain, range of motion, and overall shoulder function. The study will include rehabilitation care continuity at designated medical centers, and participants will be followed for at least three months to track recovery outcomes.