Assessment and optimization of guideline adherence in the diagnostic process for cardiac catheterization in stable coronary heart disease

• Conditions: I20; I25; R07; Angina pectoris; Chronic ischaemic heart disease; Pain in throat and chest

• Registration Number: DRKS00015638
• Lead Sponsor: Contilia GmbH Klinik für Kardiologie

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2019-02-19
• Study Completion: 2021-08-31
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 901

Inclusion Criteria

General:
• Age >18 years
• Signed consent to participate
• Insured at AOK Rheinland/Hamburg or AOK Nordwest

Cohort specific inclusion criteria:
Main cohort for assessing and optimizing guidelines adherence, in the diagnostic process for cardiac catheterization in stable CHD:
• Patients assigned to the cardiac catheterization for suspected de novo or progress of a known coronary heart disease.
• Patients with inpatient admission with suspected de novo or progress of a known coronary heart disease after exclusion of acute myocardial infarction and clarification by a cardiac catheterization.

Three sub-cohorts for explorative assessment of the overall health care provision:
1. Patients with referral for outpatient specialist cardiological consultation in case of suspected de novo or progression of a known coronary heart disease.
2. Patient with admission or self-referral on the emergency department with purely non-invasive clarification.
3. Patients with admission for non-invasive imaging, pre-ward examinations (clarification) without consecutive cardiac catheterization.

Exclusion Criteria

- acute myocardial infarction
- elevtive clarification before heart surgery
- elective clarification of a heart failure

Study & Design

• Study Type: observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary outcome is the guideline adherence of the diagnostic pathways of patients at risk of CHD who are admitted to hospital wards.<br>The primary safety target parameters are peri-interventional and post-ward complications up to 30 days after cardiac catheterization (death, myocardial infarction, and stroke).

Secondary Outcome Measures

Name	Time	Method
Secondary target parameters are:<br>• Coronary revascularization by percutaneous coronary intervention or bypass surgery<br>• Peri-interventional complications:<br>o all-cause death, myocardial infarction, or stroke <br>o Bleeding and vascular complications<br>• Economically, the costs of real care practice are recorded.