Telemedicine Qualifying Transition Between Tertiary and Primary Health Care in Stable Coronary Artery Disease Patients

NCT ID: NCT02489565

Last Updated: 2015-07-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

264 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2017-11-30

Brief Summary

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The purpose of this study is to determine whether the telemedicine use in primary health care is effective in the accompaniment of stable coronary artery disease patients who were discharged from the tertiary health care clinics.

Detailed Description

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This study is a randomized non-inferiority trial for patients with chronic coronary artery disease from a tertiary hospital with outpatient discharge criteria. The purpose is to compare the use of telemedicine in the quality of care transition between tertiary care and primary care patients (intervention group), with patients who remain in the outpatient clinic of a tertiary hospital (control group).

Conditions

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Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Tertiary care

Outpatient from tertiary care with discharge criteria who remains in the tertiary care.

Group Type NO_INTERVENTION

No interventions assigned to this group

Primary care

Outpatient discharge from tertiary care to a primary care near the patient's home with the support of telemedicine.

Group Type EXPERIMENTAL

Telemedicine

Intervention Type OTHER

Outpatient discharge from tertiary care to primary care with a letter of referral explaining about the study containing phone number from telemedicine and a letter with the patient's history in the hospital. Two months after discharge, the telemedicine's cardiologist initiates contact with the primary care's physician about patient follow-up.

Interventions

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Telemedicine

Outpatient discharge from tertiary care to primary care with a letter of referral explaining about the study containing phone number from telemedicine and a letter with the patient's history in the hospital. Two months after discharge, the telemedicine's cardiologist initiates contact with the primary care's physician about patient follow-up.

Intervention Type OTHER

Other Intervention Names

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Primary care with the support of telemedicine

Eligibility Criteria

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Inclusion Criteria

* individuals with diagnosis of Coronary Artery Disease (CAD) in Canadian Cardiovascular Society (CCS)'s functional classification of angina Class I or II
* patients who did not submit hospitalization for cardiovascular disease in the last year

Exclusion Criteria

* patients who were not followed up in the health service to at least one year
* unstable patients requiring adjustments of medications or who are performing some diagnostic evaluation at discharge outpatient
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

Ministry of Health, Brazil

OTHER_GOV

Sponsor Role collaborator

Federal University of Rio Grande do Sul

OTHER

Sponsor Role collaborator

Hospital de Clinicas de Porto Alegre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carisi A Polanczyk, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital de Clínicas de Porto Alegre

Locations

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Instituto de Avaliação de Tecnologia em Saúde (Institute of Technology Assessment in Health)

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Carisi A Polanczyk, PhD

Role: CONTACT

+55 51 33596359

Joanna Lyra, PhD

Role: CONTACT

+ 55 51 33596325

Facility Contacts

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Carisi A Polanczyk, PhD

Role: primary

+555133596359

Joanna L Batista, PhD

Role: backup

+555133596325

References

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Ruschel KB, Rados DR, Furtado MV, Batista JDL, Katz N, Harzheim E, Polanczyk CA. Transition of care of stable ischaemic heart disease patients from tertiary to primary care with telemedicine support: Randomized noninferiority clinical trial. J Telemed Telecare. 2022 Jan;28(1):52-57. doi: 10.1177/1357633X20906648. Epub 2020 Mar 18.

Reference Type DERIVED
PMID: 32188310 (View on PubMed)

Batista Jd, Furtado MV, Katz N, Agostinho MR, Neto BS, Harzheim E, Polanczyk CA. Telemedicine-supported transition of stable coronary artery disease patients from tertiary to primary health care facilities: protocol for a randomized non-inferiority trial. BMC Health Serv Res. 2016 Jul 7;16:227. doi: 10.1186/s12913-016-1469-4.

Reference Type DERIVED
PMID: 27387752 (View on PubMed)

Other Identifiers

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401463/2013-3

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

GPPG 14-0206

Identifier Type: -

Identifier Source: org_study_id

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