Clinical Profile of a Patient After Myocardial Infarction and Acute Cerebrovascular Accident Based on Outpatient Register Data
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 1,520
- 试验地点
- 1
- 主要终点
- Identification of the main risk factors for the development of heart attacks and/or strokes in the group of studied patients.
研究概览
简要总结
This is a retrospective observational study using the methodology of creating medical registries. The expected number of patients included in the registry is about 2000 patients with myocardial infarction and/or ACVD of any duration and concomitant non-cardiac diseases of therapeutic profile in pilot healthcare organizations for any reason during 2019-2022 based on the source medical records data.
详细描述
Abstract The article presents the results of the analysis of outpatient register data of patients after myocardial infarction (MI) and acute cerebrovascular accident (ACVA). Based on the epidemiological characteristics of individuals included in the register, a clinical "portrait of a patient" after an acute cardiovascular event was formed. The features of clinical and laboratory parameters, as well as behavioral and metabolic factors of cardiovascular risk in patients included in the study were determined; and adherence to treatment before and after the reference event was assessed over a 12-year follow-up period.
The objective of the study: to determine the features of clinical and epidemiological characteristics and parameters of laboratory and instrumental studies, the profile of cardiovascular risk factors in patients with a history of MI and ACVA, and to establish their adherence to treatment before and after the reference event over a 12-year follow-up period.
Materials and methods. The investigators analyzed the data of 410 patients who applied to an outpatient and polyclinic healthcare organization between January 1, 2019, and December 31, 2022, with confirmed acute (recurrent) myocardial infarction and/or cerebral infarction that occurred between January 1, 2010, and December 31, 2019. Patients were included in the register after establishing their vital status as of January 1, 2020. The data of records and reports from healthcare organizations (forms 025/u, 131-u) and electronic outpatient records of medical information systems (MIS) from outpatient polyclinic institutions (OPI) were used. The results of the retrospective stage analysis of the study and the electronic patient database from the information and analytical system "Register of MI/ACVA" were presented. Standard methods of descriptive and analytical statistics, statistical software packages (SPSS, SAS, STATISTIKA 10, Stata) and programming languages (R, Python) were used.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Other
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •history of MI and/or ACVA of any remoteness;
- •visit to the outpatient clinic for any reason during the period from January 1, 2019, to December 31, 2022;
- •age 18 years or older;
- •the presence of informed consent for the processing of personal data in the outpatient medical record;
- •permanent residence in the city where the register is being established.
排除标准
- •non-compliance with the inclusion criteria.
结局指标
主要结局
Identification of the main risk factors for the development of heart attacks and/or strokes in the group of studied patients.
时间窗: 5 years
For this purpose, primary medical documentation and patient's dispensary observation cards were used. Participants achieved target levels of indicators of the main risk factors according to established standards in accordance with international recommendations.
次要结局
未报告次要终点
研究者
Pabivantsava Natallia
Head of the Laboratories of Comorbid Cardiology, RSPC Cardiology, Ph.D (Medicine)
State Institution "Republican Scientific and Practical Center" Cardiology, Belarus