Coronary Artery Disease
Conditions
Keywords
Coronary Artery Disease, Risk Factor Control, Community-based Management, Secondary Prevention
Brief summary
The community-based precise management for patients with coronary artery disease study is a prospective, cluster-randomized, open-labeled trial. The purpose of this trial is to test whether a community-based precise management and rehabilitation model under the hierarchical medical system could help improve the cardiovascular risk factors control in patients with coronary artery disease. Additionally, the trial will also evaluate the impact of the model on major cardiovascular adverse events in patients with coronary artery disease.
Interventions
OTHERCommunity-based precise management
The community-based precise management is a modified management strategy beyond the traditional standard community-based care under the hierarchical medical system of China. In the intervention arm, the community doctors receive training to improve their skills on coronary artery disease management. Patients will be under management for 1 year according to the strategies of community-based precise management and rehabilitation model.
OTHERStandard community-based management
The standard community-based management is the usual community-based care under the hierarchical medical system of China. In this arm, the community doctors will not receive any training on precise management strategies to improve their skills on coronary artery disease management, and patients will be under usual care for 1 year.
Sponsors
Chinese Academy of Medical Sciences, Fuwai Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with prior myocardial infarction * or receiving percutaneous coronary intervention or coronary artery bypass graft; * or coronary artery stenosis≥50% defined by coronary angiography or coronary CT angiography
Exclusion criteria
* Refuse to sign the written informed consent; * Patients without the ability to take care of themselves; * Mental disorders; * Alcoholics or drug addicts; * Cannot be followed up for any reasons; * Life expectancy\<1 year due to non-cardiovascular reasons.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Status of risk factors control of coronary artery disease | 1 year | A composite of not smoking, blood pressure\<140/90mmHg/\<130/80mmHg for patients with diabetes, HbA1c≤7%, LDL-C\<1.8mmol/L, antiplatelet therapy, and statins use. |
Secondary
| Measure | Time frame |
|---|---|
| All-cause death | 1 year |
| Readmission | 1 year |
| Myocardial infarction | 1 year |
| Coronary revascularization | 1 year |
| Stroke | 1 year |
Countries
China
Contacts
Primary ContactHaiyan Xu, MD, PhD
Outcome results
None listed