Cardiovascular disease Circulatory System Coronary heart disease, stroke, peripheral vascular disease
Conditions
Interventions
Health Centres (clusters) are randomised to intervention or control group.
Intervention group (comprehensive programme in secondary prevention led by well-trained registered nurses):
Patient educatio
Sponsors
Sardenya Primary Care Center (in collaboration with the Catalan Foundation Institute of Pharmacology) (Spain)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients are recruited from 42 primary health care centres from eight different regions of Spain (2100 patients are expected to be recruited). Inclusion Criteria: Males and females below 86 years, diagnosed with coronary heart disease (CHD), stroke or peripheral vascular disease in the last year.
Exclusion criteria
Exclusion criteria: 1. Patients diagnosed with cardiovascular disease (CVD) before the year 2004 2. Unstable patients (post myocardial infarction [MI] angina of less than 28 days after discharge, ventricular arrhythmias in the last six months) 3. Subarachnoid haemorrhage, cerebral embolisms secondary to valve disease 4. Patients with concomitant serious chronic disease (cancer, chronic renal failure, etc.) 5. Patients with poor mental function or any other reason to expect that the patient may have difficulty in complying with the requirements of the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Combination of total mortality 2. Cardiovascular fatal events 3. Cardiovascular non-fatal events | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Total mortality 2. Cardiovascular fatal events 3. Cardiovascular non-fatal events 4. Quality of life measured with the 36-item short form health survey (SF-36) instrument | — |
Countries
Spain
Outcome results
None listed