Acute Coronary Syndrome, i.e. STEMI or NSTE-ACS I21
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a. patients 18 yrs. of age or older b. acute coronary syndrome as confirmed admission diagnosis, i.e. st-segment elevated myocardial infarction (STEMI), non st-segment elevated myocardial infaction (NSTEMI) or unstable angina pectoris (UA). c. informed consent
Exclusion criteria
Exclusion criteria: a. restricted cognitive abilities, i.e. patients who are not able to care for themselves (patients with neurological/psychiatric disorders, patients receiving care or live in a nursing home) b. patients with terminal renal impairment who receive blood dialysis regularly c. patients under antineoplastic treatment d. patients not capable of sufficient knowledge of German language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient-reported medication adherence 12 months post-discharge as measured by the German Version of the Morisky Medication Adherence Scale / 8-item Version | — |
Secondary
| Measure | Time frame |
|---|---|
| Key secondary endpoint: patient-reported physical functioning as key dimension of health-related quality of life, as measured with the German Version of the Physical Funktioning Scale of the SF-12v2® Health Survey 12 months post-discharge. Further secondary endpoints: A. MACCE incidence: incidence and time up to a possible major adverse cardiac or cerebrovascular event during follow-up, i.e. non-fatal reinfarction, any repeat target lesion revascularisation (TLR), cerebrovascular accident or cardiac death. B. Patient's diesease and drug related knowledge: essential content of the in-patient educative session will be assessed with a short self-designed questionnaire at discharge. C. Patient satisfaction: satisfaction with drug related counselling will also be assessed at discharge unsing the drug information scale of the German Hamburger Fragebogen zum Krankenhausaufenthalt. D. Health-related quality of life in the dimensions Role Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role Emotional and Mental Health as measured by the SF-12v2® Health Survey 12 months post-discharge. E. Categorial interpretation of medication adherence: patient-reported medication adherence 12 months post-discharge will be interpreted according to the adherence categories by Morisky et al. | — |
Countries
Germany
Contacts
Medizinische Hochschule Hannover