NCT00716430Unknown不适用
Improving the Management of Non-ST Elevation Acute Coronary Syndrome: Systematic Evaluation of a Quality Improvement Programme
适应症
试验速览
- 阶段
- 不适用
- 入组人数
- 3,500
- 试验地点
- 37
- 主要终点
- Composite of 7 outcome measures to assess aggregate potential for improvement in care using the QI programme:1:risk stratification within 24 hrs, 2:early coronary angiography, 3:anticoagulation, 4:beta-blockers, 5:statins, 6:ACE-inhibitors, 7:Clopidogrel
研究概览
简要总结
The main hypothesis to be tested is that the use of a quality improvement programme will lead to measurable improvements in the management of care and use of evidence based treatments for patients presenting to hospital with non-ST elevation acute coronary syndromes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- — 至 80 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with a good clinical history of ACS and at least one of the following:
- •New or transient ST or T wave changes on the ECG consistent with acute myocardial ischaemia
- •Elevation of troponin or other cardiac markers to levels indicative of myocardial necrosis according to local laboratory values
排除标准
- •Evidence of persistent ST elevation on the ECG
- •Use of early reperfusion therapy
- •Patients >80 years
- •Patients transferred from another hospital
结局指标
主要结局
Composite of 7 outcome measures to assess aggregate potential for improvement in care using the QI programme:1:risk stratification within 24 hrs, 2:early coronary angiography, 3:anticoagulation, 4:beta-blockers, 5:statins, 6:ACE-inhibitors, 7:Clopidogrel
时间窗: 10 months
次要结局
- Clinical outcomes at discharge including death and myocardial infarction(10 months)
- Estimated costs of care for patients(10 months)
- Estimated costs and economic evaluation of potential cost-effectiveness of QI programme(10 months)
研究者
研究点 (37)
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