Low-cost Detection of Dementia Using Electronic Health Records Data: Validation and Testing of the Electronic Health Record Risk of Alzheimer's and Dementia Assessment Rule (eRADAR) Algorithm in a Pragmatic, Patient-centered Trial.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,271
- 试验地点
- 3
- 主要终点
- New dementia diagnosis
研究概览
简要总结
The eRADAR Brain Health Study seeks to refine and test a novel, low-cost strategy for increasing dementia detection within primary care.
详细描述
Detailed description: eRADAR stands for "electronic health record (EHR) Risk of Alzheimer's and Dementia Assessment Rule." It is a low-cost tool or algorithm that uses readily available EHR data elements to identify high-risk patients. The investigators will conduct a pragmatic randomized controlled trial to assess the impact of implementing eRADAR as part of a supported outreach process on dementia detection rates. The investigators will also explore the impact of eRADAR implementation on healthcare utilization and patient experience.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •No prior diagnosis of dementia (defined from EHR diagnosis codes) and not receiving medications for dementia
- •Active patient at participating clinic
- •Adequate data to calculate eRADAR score
排除标准
- •- Currently receiving hospice care
研究组 & 干预措施
Brain Health Intervention
Calculate eRADAR scores using EHR data to identify eligible individuals Invite eligible individuals for brain health assessment visit Enter results of brain health assessment visit into EHR Provide summary of results and recommended next steps to the Primary Care Physician and participant
干预措施: Brain Health Assessment (Other)
Usual Care
Usual care Individuals who meet eligibility criteria will receive usual care.
结局指标
主要结局
New dementia diagnosis
时间窗: 12 months after index date
Rate of new dementia diagnosis identified from the electronic health record (EHR) using prespecified set of ICD-10 codes
次要结局
- Number of dementia-related laboratory tests performed(6 months after index date)
- Number of dementia-related neuroimaging tests performed(6 months after index date)
- New diagnosis of mild cognitive impairment(12 months after index date)
- Number of inpatient days(1 year after index date)
- New dementia diagnosis (secondary definitions)(18 months after index date)
- Number of primary care visits(6 months after index date)
- Proportion of days covered for current prescriptions(1 year after index date)
- Number of specialty visits or referrals for dementia assessment(6 months after index date)
- Number of urgent care and emergency department visits(1 year after index date)
- Percent of participants who receive new medications for dementia(6 months after index date)
- Number of scheduled visits missed(1 year after index date)
- Proportion of people offered a brain health visit who accept and attend the visit(3 months after invitation mailed)
- Positive predictive value of eRADAR algorithm(12 months after index date)
- New dementia diagnosis (secondary definitions)(6 months after index date)