Risk-guided Disease Management in Coronary Artery Disease

Not Applicable

Active, not recruiting

• Conditions: Coronary Artery Disease; Chronic Disease; Nurse's Role

• Registration Number: NCT04966117
• Lead Sponsor: Baker Heart and Diabetes Institute

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2021-6-29
• Last Update Posted: 2 September 2024

Recruitment & Eligibility

• Status: Active, not recruiting
• Sex: All
• Target Recruitment: 270

Inclusion Criteria

Inclusion Criteria:<br><br> 1. Aged between 30 to 74 years; AND<br><br> 2. Hospitalised with CAD or other eligible cardiac procedure or condition including<br> acute myocardial infarction (STEMI or NSTEMI), unstable angina, coronary artery<br> bypass grafting or percutaneous coronary intervention; AND<br><br> 3. Defined as higher risk (score >= 5) by PEGASUS-TIMI 54 criteria; AND<br><br> 4. Eligible for Medicare.<br><br>Exclusion Criteria:<br><br> 1. Inability to provide written informed consent; OR<br><br> 2. Non-English speaking; OR<br><br> 3. Inability to attend clinic visits; OR<br><br> 4. Inability to engage with an app due to low technical literacy or lacking access to a<br> smart phone or wi-fi; OR<br><br> 5. Hospitalised with a primary diagnosis of heart failure; OR<br><br> 6. eGFR <30 ml/min/1.73m2 (CKD stage 4 or stage 5); OR<br><br> 7. Valve disease only; OR<br><br> 8. Requiring palliative care; OR<br><br> 9. Concomitant terminal non-cardiac illnesses that could influence 12-month prognosis<br> (e.g. advanced malignancy); OR<br><br> 10. Participating in another study with a potential but unknown effect on outcome.

Exclusion Criteria

Not provided

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Hospitalization or death

Secondary Outcome Measures

Name	Time	Method
Hospitalization or death;Provider adherence to best practice guidelines;Risk factor control - lipids;Risk factor control - blood pressure;Health well-being