Coronary Artery Disease
Conditions
Keywords
Coronary Artery Disease, stable, Telemedicine, Patient Discharge
Brief summary
The purpose of this study is to determine whether the telemedicine use in primary health care is effective in the accompaniment of stable coronary artery disease patients who were discharged from the tertiary health care clinics.
Detailed description
This study is a randomized non-inferiority trial for patients with chronic coronary artery disease from a tertiary hospital with outpatient discharge criteria. The purpose is to compare the use of telemedicine in the quality of care transition between tertiary care and primary care patients (intervention group), with patients who remain in the outpatient clinic of a tertiary hospital (control group).
Interventions
OTHERTelemedicine
Outpatient discharge from tertiary care to primary care with a letter of referral explaining about the study containing phone number from telemedicine and a letter with the patient's history in the hospital. Two months after discharge, the telemedicine's cardiologist initiates contact with the primary care's physician about patient follow-up.
Sponsors
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Ministry of Health, Brazil
Federal University of Rio Grande do Sul
Hospital de Clinicas de Porto Alegre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* individuals with diagnosis of Coronary Artery Disease (CAD) in Canadian Cardiovascular Society (CCS)'s functional classification of angina Class I or II * patients who did not submit hospitalization for cardiovascular disease in the last year
Exclusion criteria
* patients who were not followed up in the health service to at least one year * unstable patients requiring adjustments of medications or who are performing some diagnostic evaluation at discharge outpatient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants that stay in Canadian Cardiovascular Society (CCS) Functional Classification of Angina I and II as a measure of safety | within one year after discharge | Not evolve into a higher class than the measure before the intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| blood pressure control | within one year after discharge | verified to maintain systemic blood pressure from the observation of a variation of at least 5% in pre and post intervention measurements |
| Number of participants with instability of the disease | within one year after discharge | the need to seek emergency care for cardiovascular disease post intervention. |
| dyslipidemia control | within one year after discharge | verified to maintain dyslipidemia control through laboratory examination, from the observation of a variation of at least 5% in pre and post intervention measurements of Low Density Lipoproteins (LDL) in blood |
| diabetes control | within one year after discharge | verified to maintain diabetes control through laboratory examination, from the observation of a variation of at least 5% in pre and post intervention measurements of fasting glucose in the blood |
Other
| Measure | Time frame | Description |
|---|---|---|
| Access to primary health care | within six months and one year after discharge | medical consultation in Basic Health Unit held with assessment of current medications and providing prescription. |
| Number of participants in physical activity | within one year after discharge | maintenance or start regular physical activity post intervention |
| Number of participants with control of tobacco | within one year after discharge | remain without smoking for non smokers; and smoking cessation for smokers |
Countries
Brazil
Contacts
Primary ContactCarisi A Polanczyk, PhD
Backup ContactJoanna Lyra, PhD
Outcome results
None listed