Enhancing Diagnosis and Prevention of Cardiovascular Disease in Newham by Integrated Use of Electronic Health Records

Not Applicable

Completed

• Conditions: Cardiovascular Disease
• Interventions: Other: Enhanced Health Check

• Registration Number: NCT02486913
• Lead Sponsor: Queen Mary University of London

Brief Summary

The investigators will develop a "risk report" within the primary care electronic health record (EMIS) for patients attending for their National Health Service Health Check. The value of the report for reducing cardiovascular risk will be assessed qualitatively and also quantitatively in a non-randomised comparative trial.

Detailed Description

The investigators will design a template within the primary care electronic health record (EMIS) that draws on Health Check data to provide a contemporary "risk report". Included in the report will be clear description of life-time cardiovascular risks, the factors driving those risks and how risk might be reduced through life-style and risk factor modification. The investigators will evaluate the benefits of providing patients with a risk report qualitatively by patient and clinician interviews. Quantitative analysis of the benefit of the risk report will be provided by a non-randomised comparative trial. First, a group of patients undergoing a conventional Health Check will be recalled after three months for a second Health Check, allowing measurement of the change in "Heart Age" - a convenient index of life-time cardiovascular risk. Following introduction of the risk report the investigators will recall a further group of patients for a second Health Check, allowing measurement of the change in "Heart Age". The effect of the risk report will be determined by comparing the change in Heart Age between the two groups of patients.

Study Timeline

• Study First Submitted: 2015-06-16
• Study First Submitted QC: 2015-06-29
• Study First Posted: 2015-07-01
• Study Start: 2015-08
• Status Verified: 2017-02
• Primary Completion: 2018-01-01
• Study Completion: 2018-01-01
• Last Update Submitted: 2018-03-05
• Last Update Posted: 2018-03-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 190

Inclusion Criteria

• Adults aged 40-74 years

Exclusion Criteria

• Prior diagnosis of heart disease, stroke, diabetes, kidney disease or dementia

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Enhanced Health Check	Enhanced Health Check	Patients undergoing National Health Service Health Check enhanced by risk report

Primary Outcome Measures

Name	Time	Method
Change in Heart Age	3 months	Change in Heart Age between 1st Health Check and 2nd Health Check three months later

Secondary Outcome Measures

Name	Time	Method
Change in systolic blood pressure	3 months	Change in systolic blood pressure (mmHg) by direct measurement using an inflatable cuff between 1st Health Check and 2nd Health Check three months later.
Change in total cholesterol	3 months	Changes in total blood cholesterol (mmol/L) by serum sampling between 1st Health Check and 2nd Health Check three months later.
Changes in smoking status	3 months	Changes in smoking status (number smoked per day) by direct patient enquiry between 1st Health Check and 2nd Health Check three months later.
Change in body mass index	3 months	Change in body mass index by measurement of height and weight between 1st Health Check and 2nd Health Check three months later.

Trial Locations

Locations (1)

Bart's Heart Centre; 🇬🇧 London, United Kingdom