Decision Variability Between Different Heart Teams for Complex Coronary Artery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 101
- 试验地点
- 1
- 主要终点
- Kappa value of decisions
研究概览
简要总结
The purposes of this study are 1) to explore the variability of decisions between different heart teams in complex coronary artery disease; 2) to evaluate the reasons of the discrepancy in decision making.
详细描述
Heart team has been recommended by guideline for optimizing the decision making for patients with complex coronary artery diseases (CAD). However, prior studies have demonstrated that heart team decision might have poor reproducibility, and the variability of heart team decision remains unknown.
Thus, the investigators designed a single-center, retrospective, cross-sectional study to explore the decision variability of heart team in CAD patients. The investigators will retrospectively recruit patients with angiographically confirmed 3-vessel or left main disease from a coronary angiography database at Fuwai hospital. Patients' baseline information will be collected. And different heart teams will be established and made decisions for the enrolled patients. First, the investigators will assess the decision variability between different heart teams. Secondary, the investigators will evaluate the reason of discrepancy by qualitative and quantitative analysis.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
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
- •Patients with angiographically confirmed 3-vessel disease or left main disease
排除标准
- •Prior percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG)
- •Myocardial infarction with acute phase judged by Electrocardiograph or biomarkers
- •Combined with severe valvular disease, great vessel disease or huge ventricular aneurysm which need surgery
- •Combined with atrial fibrillation or severe arrhythmia
结局指标
主要结局
Kappa value of decisions
时间窗: at the end of enrollment (6 months)
Kappa value of decisions between different heart teams
次要结局
- Concordance rate of decisions(at the end of enrollment (6 months))