Assessment and optimization of guideline adherence in the diagnostic process for cardiac catheterization in stable coronary heart disease

Conditions

I20 I25 R07

Hannah Kentenich, Arim Shukri, Dirk Müller, Bastian Wein, Oliver Bruder et al. (7 authors)

Clinical Research in Cardiology2025-05-06

Guideline adherence in the use of coronary angiography in patients presenting at the emergency department without myocardial infarction – Results from the German ENLIGHT-KHK project

Bastian Wein, Yana Seleznova, Dirk Müeller, Marie Naumann, Simon Loeser et al. (18 authors)

IJC Heart & Vasculature2023-10-201 citations

10.1016/j.ijcha.2023.101281

Factors influencing adherence to clinical practice guidelines in patients with suspected chronic coronary syndrome: a qualitative interview study in the ambulatory care sector in Germany

Marie Naumann, Simon Robin Scharfenberg, Yana Seleznova, Bastian Wein, Oliver Bruder et al. (9 authors)

BMC Health Services Research2023-06-206 citations

10.1186/s12913-023-09587-1

Evaluation of the guideline-adherence of coronary angiography in patients with suspected chronic coronary syndrome - Results from the German prospective multicentre ENLIGHT-KHK project.

Wein B, Seleznova Y, Mueller D, Naumann M, Loeser S, Artmann J, Fritz T, Steffen M, Windhoevel U, Haude M, Vom Dahl J, Schaefer U, Montenbruck M, Zarse M, Jegodka R, Dill T, Guelker JE, Boese D, Bruder O.

2023-04-086 citations

10.1016/j.ijcha.2023.101203

Evaluation of Guideline Adherence for Cardiac Catheterization in Patients With Presumed Obstructive Coronary Artery Disease in Germany (ENLIGHT-KHK) - A Multicentre, Prospective, Observational Study.

Seleznova Y, Wein B, Müller D, Naumann M, Bruder O, Steffen M, Windhövel U, Loeser S, Artmann J, Fritz T, Eckardt M, Stock S, Naber CK.

2020-11-286 citations

10.1016/j.carrev.2020.11.021

Interventions

Group 1: Patients assigned to cardiac catheterization for suspected de novo or progression of known coronary heart disease. Patients with inpatient admission with suspected de novo or progress of a k

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: General: • Age >18 years • Signed consent to participate • Insured at AOK Rheinland/Hamburg or AOK Nordwest Cohort specific inclusion criteria: Main cohort for assessing and optimizing guidelines adherence, in the diagnostic process for cardiac catheterization in stable CHD: • Patients assigned to the cardiac catheterization for suspected de novo or progress of a known coronary heart disease. • Patients with inpatient admission with suspected de novo or progress of a known coronary heart disease after exclusion of acute myocardial infarction and clarification by a cardiac catheterization. Three sub-cohorts for explorative assessment of the overall health care provision: 1. Patients with referral for outpatient specialist cardiological consultation in case of suspected de novo or progression of a known coronary heart disease. 2. Patient with admission or self-referral on the emergency department with purely non-invasive clarification. 3. Patients with admission for non-invasive imaging, pre-ward examinations (clarification) without consecutive cardiac catheterization.

Exclusion criteria

Exclusion criteria: - acute myocardial infarction - elevtive clarification before heart surgery - elective clarification of a heart failure

Design outcomes

Primary

Measure	Time frame
The primary outcome is the guideline adherence of the diagnostic pathways of patients at risk of CHD who are admitted to hospital wards. The primary safety target parameters are peri-interventional and post-ward complications up to 30 days after cardiac catheterization (death, myocardial infarction, and stroke).	—

Secondary

Measure	Time frame
Secondary target parameters are: • Coronary revascularization by percutaneous coronary intervention or bypass surgery • Peri-interventional complications: o all-cause death, myocardial infarction, or stroke o Bleeding and vascular complications • Economically, the costs of real care practice are recorded.	—

Countries

Germany

Contacts

Public ContactMelanie Steffen

Kardiovaskuläres StudienzentrumKlinik für Kardiologie und AngiologieContilia Herz- und GefäßzentrumElisabeth-Krankenhaus Essen

m.steffen@contilia.de0201 – 897-3217

Outcome results

None listed