A Smartphone APPlication for the Transmission of ECGs in the Management of Patients Presenting With Suspected Heart Attacks in the Hamilton, Niagara, Haldimand, and Brant Area
NCT ID: NCT05290389
Last Updated: 2023-11-30
Study Results
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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COMPLETED
260 participants
OBSERVATIONAL
2022-04-04
2023-11-30
Brief Summary
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The current model for communication is based on fax machines or non-secure text messages. Additionally, these are not easily accessible for most physicians, so decisions to transfer patients may be based on incomplete information. Unnecessary transfer, treatments, and procedures expose patients and healthcare providers to undue risk.
Smartphone technology is well integrated into clinical practice and widely accessible. The proposed solution being tested is secure and leverages the accessibility of smartphones. Emergency physicians can use this to quickly, securely, and accurately transmit information ensuring faster and appropriate decision making for transfers.
Detailed Description
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The study will use a pre-post design to evaluate the implementation and use of a clinical intervention, the SMART AMI App. The study will use quantitative registry data already being collected via the ongoing SMART-AMI project (e.g., STEMI database), utilization of data collected from the SMART AMI App, and quantitative and qualitative survey data from participating physicians. As the intervention in this study is a change in process to improve communication between Emergency Department physicians and Interventional Cardiologists, the study does not directly involve patients and individual patient consent will not be required. No new patient data will be collected for the purposes of this study.
Descriptive quantitative analysis and thematic qualitative analysis of survey results will be conducted. Descriptive and inferential statistics will be used for quantitative data derived from patient charts/registry and physician surveys. Continuous variables will be described using mean ± standard deviation. An interrupted time series analysis will be used to compare trends on time-based quality of care indicators. Categorical variables, such as false activation, will be described as frequencies and compared using a Fisher exact test or chi-square test.
Funding for this study was provided by the Hamilton Academic Health Sciences Organization (HAHSO) #HAH-21-015.
Conditions
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Keywords
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Study Design
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CASE_ONLY
PROSPECTIVE
Study Groups
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Physicians
All Emergency Medicine physicians and Interventional Cardiologists involved in STEMI care in the Hamilton Niagara Haldimand Brant Local Health area will be eligible for participation in this study.
SMART AMI APPLICATION
SMART AMI allows real-time sharing and review of patient history and ECG between Emergency Department physicians and Interventional Cardiologists to allow for immediate decision-making regarding the need for percutaneous coronary intervention.
Participant physicians will use a smartphone application to communicate, transmit the ECG, and activate the STEMI team. This application enables calling and transmission of up to three images of ECGs, which can be reviewed immediately by the Interventional Cardiologist when communicating with the referring physician.
Interventions
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SMART AMI APPLICATION
SMART AMI allows real-time sharing and review of patient history and ECG between Emergency Department physicians and Interventional Cardiologists to allow for immediate decision-making regarding the need for percutaneous coronary intervention.
Participant physicians will use a smartphone application to communicate, transmit the ECG, and activate the STEMI team. This application enables calling and transmission of up to three images of ECGs, which can be reviewed immediately by the Interventional Cardiologist when communicating with the referring physician.
Eligibility Criteria
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Inclusion Criteria
* Brantford General Hospital
* Fort Erie Urgent Care Center
* Greater Niagara General Hospital
* Haldimand War Memorial Hospital
* Hamilton General Hospital
* Joseph Brant Hospital
* Juravinski Hospital
* Main Street West UCC
* Norfolk General Hospital
* Port Colborne Urgent Care Center
* St. Catharines General Hospital
* St. Joseph's Hospital
* St. Joseph's Urgent Care Center
* Welland County General Hospital
* West Haldimand General Hospital
* West Lincoln Memorial Hospital
* Willett Urgent Care Centre
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Hamilton Health Sciences Corporation
OTHER
Centre for Evidence-Based Implementation
UNKNOWN
McMaster University
OTHER
Responsible Party
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Principal Investigators
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Madhu K Natarajan, MD
Role: PRINCIPAL_INVESTIGATOR
Hamilton Health Sciences Corporation
Mathew Mercuri, PhD
Role: PRINCIPAL_INVESTIGATOR
Hamilton Health Sciences Corporation
Hassan K Mir, MD
Role: PRINCIPAL_INVESTIGATOR
Ottawa Heart Institute Research Corporation
Locations
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Brantford General Hospital
Brantford, Ontario, Canada
Joseph Brant Hospital
Burlington, Ontario, Canada
Haldimand War Memorial Hospital
Dunnville, Ontario, Canada
Fort Erie Urgent Care Center
Fort Erie, Ontario, Canada
West Lincoln Memorial Hospital
Grimsby, Ontario, Canada
West Haldimand General Hospital
Hagersville, Ontario, Canada
St. Joseph's Urgent Care Center
Hamilton, Ontario, Canada
Hamilton General Hospital
Hamilton, Ontario, Canada
St. Joseph's Hospital
Hamilton, Ontario, Canada
Main Street West UCC
Hamilton, Ontario, Canada
Juravinski Hospital
Hamilton, Ontario, Canada
Greater Niagara General Hospital
Niagara Falls, Ontario, Canada
Willett Urgent Care Centre
Paris, Ontario, Canada
Port Colborne Urgent Care Center
Port Colborne, Ontario, Canada
Norfolk General Hospital
Simcoe, Ontario, Canada
St. Catharines General Hospital
St. Catharines, Ontario, Canada
Welland County General Hospital
Welland, Ontario, Canada
Countries
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References
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Mir H, Cullen KJ, Mosleh K, Setrak R, Jolly S, Tsang M, Rutledge G, Ibrahim Q, Welsford M, Mercuri M, Schwalm JD, Natarajan MK. Smartphone App for Prehospital ECG Transmission in ST-Elevation Myocardial Infarction Activation: Protocol for a Mixed Methods Study. JMIR Res Protoc. 2024 Sep 6;13:e55506. doi: 10.2196/55506.
Other Identifiers
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HAH-21-015
Identifier Type: -
Identifier Source: org_study_id