A Retrospective Analysis of the Adherence to Clinical Practice Guidelines Using the "MedicBK" Digital Platform in Patients With Hypertension and Atrial Fibrillation (the INTELLECT Trial)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 191
- 试验地点
- 1
- 主要终点
- Assessment of AF/AH treatment guidelines compliance
研究概览
简要总结
The Clinical Decision Support Systems (CDSS) based on real clinical data and its own algorithms can help to make the right choice. This trial is designed to assess the difference between retrospective electronic medical cards (EMC) therapy prescriptions and MedicBK prescriptions based on key patient characteristics.
详细描述
There is a lot of data from registries about poor adherence to guidelines. It is connected with a problem that patients usually have a lot of comorbidities and physicians need to know сonsequently the huge number of medications and combinations. It is very difficult to decide quickly according to available data from libraries like PubMed. The Clinical Decision Support Systems (CDSS) based on real clinical data and its own Artificial Intelligence algorithms can help to make the right choice. This trial is designed to assess the difference between retrospective electronic medical cards (EMC) therapy prescriptions and MedicBK prescriptions based on key patient characteristics.
Two groups of experts (cardiologists with clinical practice for more than 5 years) will be participating in the trial.
Using main characteristics from EMC the first group of experts will put this data into MedicBK platform and assess retrospective treatment. The next blinded group of experts will perform prescriptions using MedicBK algorithms based on current guidelines and data from available clinical trials. The main hypothesis is the use Clinical Decision Support Systems (CDSS) better than current clinical practice. This option can help to make the right choice of medical combination based on main patient's clinical characteristics
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Other
入排标准
- 年龄范围
- 19 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age > 18 years old
- •Patients diagnosed with nonvalvular atrial fibrillation and essential hypertension having indications for therapy according to European guidelines.
排除标准
- •Valvular cause of atrial fibrillation
- •GFR less than 30 ml / min
- •Active liver disease
- •Acute coronary syndrome
- •The presence of thyroid diseases as a cause of atrial fibrillation
- •Secondary arterial hypertension
研究组 & 干预措施
Group 1
retrospective data on treatment from EMC
干预措施: Retrospective analysis of assigned treatment (Drug)
结局指标
主要结局
Assessment of AF/AH treatment guidelines compliance
时间窗: 1 MONTH
Number of electronic medical records not compliant to the AF/AH clinical practice guidelines
次要结局
- Assessment of MedicBK programme(1 MONTH)
