European Quality Improvement Programme for Acute Coronary Syndromes
- Conditions
- Acute Coronary Syndrome
- Interventions
- Behavioral: Quality Improvement Programme
- Registration Number
- NCT00716430
- Lead Sponsor
- Royal Brompton & Harefield NHS Foundation Trust
- Brief Summary
The main hypothesis to be tested is that the use of a quality improvement programme will lead to measurable improvements in the management of care and use of evidence based treatments for patients presenting to hospital with non-ST elevation acute coronary syndromes.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 3500
Patients with a good clinical history of ACS and at least one of the following:
- New or transient ST or T wave changes on the ECG consistent with acute myocardial ischaemia
- Elevation of troponin or other cardiac markers to levels indicative of myocardial necrosis according to local laboratory values
- Evidence of persistent ST elevation on the ECG
- Use of early reperfusion therapy
- Patients >80 years
- Patients transferred from another hospital
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description QI Quality Improvement Programme Quality Improvement Centres
- Primary Outcome Measures
Name Time Method Composite of 7 outcome measures to assess aggregate potential for improvement in care using the QI programme:1:risk stratification within 24 hrs, 2:early coronary angiography, 3:anticoagulation, 4:beta-blockers, 5:statins, 6:ACE-inhibitors, 7:Clopidogrel 10 months
- Secondary Outcome Measures
Name Time Method Clinical outcomes at discharge including death and myocardial infarction 10 months Estimated costs of care for patients 10 months Estimated costs and economic evaluation of potential cost-effectiveness of QI programme 10 months
Trial Locations
- Locations (37)
Szpital Zachodni
🇵🇱Grodzisk Mazowiecki, Poland
Szpital w Grojcu
🇵🇱Grojec, Poland
Centre Hospitalier de Chambery
🇫🇷Chambery, France
Centre Hospitalier d'Ussel
🇫🇷Ussel, France
Centre Hospitalier de Riom Guy Thomas
🇫🇷Riom, France
Hopitaux Drome Nord de Romans-sur-Isere
🇫🇷Romans-sur-Isere, France
Hospital Universitario Joan XXIII
🇪🇸Tarragona, Spain
Ospedale Generale Provinciale di Macerata
🇮🇹Macerata, Italy
Cardiology dept. B, CHU Hopital G. Montpied
🇫🇷Clermont Ferrand, France
Ospedale Civile di Mirano
🇮🇹Mirano, Italy
Centre Hospitalier de la region d'Annecy
🇫🇷Annecy, France
Szpital we Wloclawku
🇵🇱Wloclawek, Poland
Ospedale Morgagni-Pierantoni
🇮🇹Forli, Italy
CHU de Grenoble
🇫🇷Grenoble, France
Szpital w Plocku
🇵🇱Plock, Poland
Szpital w Siedlcach
🇵🇱Siedlce, Poland
Barnet General Hospital
🇬🇧Barnet, United Kingdom
Yeovil District Hospital
🇬🇧Yeovil, United Kingdom
Centre Hospitalier Pierre Bazin
🇫🇷Voiron, France
Ospedale M. Bufalini
🇮🇹Cesena, Italy
Szpital w Ciechanowie
🇵🇱Ciechanow, Poland
Ospedale di Livorno
🇮🇹Livorno, Italy
Radomski Szpital Specjalistyczny
🇵🇱Radom, Poland
Szpital Specjalistyczny SPZOZ w Radom
🇵🇱Radom, Poland
SP CSK- Medical University of Warsaw
🇵🇱Warsaw, Poland
Swietofrzyskie Centrum Chorob Serca
🇵🇱Kielce, Poland
Hospital Universitario Germans Trias
🇪🇸Badalona, Spain
Hospital del Mar
🇪🇸Barcelona, Spain
Hospital Universitario Vall d'Hebron
🇪🇸Barcelona, Spain
Hospital Josep Trueta
🇪🇸Girona, Spain
Basildon Hospital
🇬🇧Essex, United Kingdom
Hospital de Tortosa Virgen de la Cinta
🇪🇸Tortosa, Spain
Hospital de Terrassa
🇪🇸Terrassa-Barcelona, Spain
Antrim Area Hospital
🇬🇧Antrim, United Kingdom
Warwick Hospital
🇬🇧Warwick, United Kingdom
Royal Albert Edward Infirmary
🇬🇧Wigan, United Kingdom
York District Hospital
🇬🇧York, United Kingdom