Effects of a nurse coordinated program of lifestyle interventions aimed at reducing the risk of recurrent events in patients who have suffered a heart attack.
Completed
- Conditions
- secondary intervention, nurse coordinated care, acute coronary syndromeSecondaire interventie, verpleegkundig gecoördineerd spreekuur, acuut coronair syndroom
- Registration Number
- NL-OMON20582
- Lead Sponsor
- Department of cardiology
- Brief Summary
/A
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 1000
Inclusion Criteria
Patients aged 18-80 years who have been hospitalized for an acute coronary syndrome less than 4 weeks before inclusion and who have at least one of the following lifestyle related risk factors:
1. Smoking (including smoking of any tobacco product in the 6 months preceding hospitalisation);
Exclusion Criteria
Patients are ineligible if they meet any of the following exclusion criteria:
1. Visits to the prevention programs not feasible;
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The following parameters are compared between the intervention group and the control group at 12 months: <br /><br>1. Smoking status (binary, non-smoking is defined as urinary cotinine < 200 ng/ml);<br /><br>2. Body Mass Index (kg/m2);<br /><br>3. 6 Minute walking distance (meters).<br><br /><br /><br>Treatment success in an individual patient is defined as a significant improvement in at least one of the suboptimal lifestyle factors, without deterioration in any of the other two.
- Secondary Outcome Measures
Name Time Method Comparison between baseline and 12 months of:<br /><br>1. Smoking status (urinary cotinine < 200 ng /ml);<br /><br>2. Body Mass Index (kg/m2);<br /><br>3. Waist circumference (cm);<br /><br>4. 6 Minute walking distance (meters).<br /><br>The following parameters are compared between the intervention group and the control group at 12 months:<br /><br>1. Fasting serum LDL level (mmol /l);<br /><br>2. Systolic blood pressure (mmHg);<br /><br>3. Incidence of newly diagnosed diabetes mellitus;<br /><br>4. Control of existing diabetes mellitus (fasting blood glucose and plasma HbA1c levels);<br /><br>5. Body composition (fat and muscle mass by impedance scales);<br /><br>6. Hospital readmission rates;<br /><br>7. Signs of depression (Hospital Anxiety and Depression score).<br>8. Heart Rate Recovery after the 6 Minute Walk test