An Intervention to Reduce Prehospital Delay to Treatment in Acute Coronary Syndrome
- Conditions
- Acute Coronary Syndrome
- Interventions
- Behavioral: education
- Registration Number
- NCT00734760
- Lead Sponsor
- University of California, San Francisco
- Brief Summary
This study was conducted to test whether a focused education and counseling intervention delivered by a nurse will decrease time of delay in seeking treatment for the signs and symptoms of acute coronary syndrome (i.e., heart attack) in patients already identified as having ischemic heart disease.
- Detailed Description
Delay to treatment from the onset acute coronary syndrome (ACS)continues to be a significant cause of morbidity and mortality. This study was conducted to evaluate a tailored education and counseling program designed for individuals at high risk for a future event. Study Hypothesis: The central hypothesis of this study was that a focused education and counseling intervention delivered by a nurse will decrease time of delay in seeking treatment for the signs and symptoms of AMI in patients already identified as having ischemic heart disease. Patients were randomized to receive a nurse-administered education and counseling intervention designed to promote early presentation for medical treatment in the face of cardiac symptoms or to usual instructions by their healthcare provider. Primary \& Secondary Endpoints: The primary endpoint of this trial was prehospital delay time, i.e., time from onset of symptoms to arrival at the hospital. The secondary endpoints were: use of the emergency medical system; use of aspirin; healthcare resource utilization; and knowledge, attitudes and beliefs about heart disease.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 3522
- a diagnosis of ischemic heart disease, confirmed by their physician or medical record
- lived independently (i.e., not in an institutional setting).
- complicating serious co-morbidity such as a psychiatric illness or untreated malignancy
- neurological disorder with impaired cognition
- inability to read or understand English.
- major uncorrected hearing loss
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description A education a tailored, face-to-face education and counseling intervention with a nurse lasting approximately 45 minutes, followed by a telephonic reinforcement in 30 days
- Primary Outcome Measures
Name Time Method time from ACS symptom onset to admission to emergency department two years
- Secondary Outcome Measures
Name Time Method pre-hospital aspirin use two years emergency medical system use two years resource utilization two years