Brazilian Intervention to Increase Evidence Usage in Practice - Acute Coronary Syndromes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,150
- 试验地点
- 1
- 主要终点
- Phase 1: patient who've received interventions based on evidence proportion informed by the indicators
研究概览
简要总结
Phase 1: An observational study (registry) will be conducted which will objectively document the ACS clinical practice in Brazilian public hospitals, and identify the important barriers for the evidence usage incorporation in the clinical practice.
Phase 2: A Cluster randomized clinical trial in which public hospital will be randomized to receive or not a multifaceted strategy in order to increase evidence based therapy in clinical practice.
详细描述
STUDY POPULATION:
Patients with thoracic pain who the emergency department physician suspects of ACS and plans start a treatment for this issue; It will be excluded patients transferred of others institutions with 12 hours of symptoms.
PROGRAM:
There are multifaceted Interventions Including
- Distribution of educational materials
- Case manager: Use of a trained person who works in the hospital and will be responsible to assure that all interventions were used
- Reminders: specific information that is designed or intended to prompt a health professional to recall information (patient bracelets, labels, posters, pocket cards, checklists).
- Practical training
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient Eligibility criteria
- •Inclusion Criteria:
- •Patients with thoracic pain who the emergency department physician suspects of ACS and plans start a treatment for this issue
排除标准
- •Patients transferred from others institutions within 12 hours of the symptoms
- •Cluster Eligibility Criteria
- •National Public Hospitals with emergency department. A cluster can be one hospital with emergency department, or 2 or more hospitals (for example: 1 emergency hospital and 1 general hospital which receive the patients to perform PCI).
研究组 & 干预措施
Quality improvement program
There are multifaceted Interventions for the clinic hospital team Including
- Distribution of educational materials
- Case manager
- Reminders
- Practical training
干预措施: multifaceted strategy (Other)
Hospital standard treatment
Hospital standard treatment
结局指标
主要结局
Phase 1: patient who've received interventions based on evidence proportion informed by the indicators
时间窗: 9 months
Phase 2: increase of prescription of evidence based treatment in clinical practice
时间窗: 6 months
次要结局
- Total mortality and major cardiovascular events(6 months)