Improving Aspirin Prescription Rates in Outpatient Clinic

NCT ID: NCT06694233

Last Updated: 2025-07-10

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

TERMINATED

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-11-01

Study Completion Date

2025-04-30

Brief Summary

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Ρrееςlаmpѕia is a syndrome characterised by the new onset of hуреrtеnѕion plus proteinuria, end-organ dysfunction, or both after 20 weeks of gestation. It complicates 3-5% of pregnancies.

Low-dose aspirin reduces the frequency of рrееςlampsia, as well as related adverse рrеgոaոcy outcomes (preterm birth, growth restriction), by 10 to 70% when taken by patients аt moderate to high risk of the disease. It has an excellent maternal/fetal safety profile. Thus, it is a reasonable preventive strategy for these patients.

A pilot study at our hospital found that not all patients who are candidates for aspirin prescription receive it (only 40%). This audit cycle aims to increase aspirin prescription rates for moderate and high-risk obstetric populations.

Detailed Description

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Conditions

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Low Birth Weight Small for Gestational Age (SGA) Preeclampsia (PE) Prevention &Amp; Control

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Obstetric population candidate for aspirin prescription

Moderate- and high-risk obstetric population

Aspirin prescription on outpatient basis

Intervention Type OTHER

Improving aspirin prescription rates for candidate patients (moderate- and high-risk obstetric population)

Interventions

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Aspirin prescription on outpatient basis

Improving aspirin prescription rates for candidate patients (moderate- and high-risk obstetric population)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Women at high risk are those with any of the following:

1. hypertensive disease during a previous pregnancy
2. chronic kidney disease
3. autoimmune disease such as systemic lupus erythematosus or antiphospholipid syndrome
4. type 1 or type 2 diabetes
5. chronic hypertension.

Women with more than one moderate risk factor, such as are:

1. nulliparity
2. age 40 years or older
3. pregnancy interval of more than 10 years
4. body mass index (BMI) of 35 kg/m2 or more at first visit
5. family history of pre-eclampsia
6. multi-fetal pregnancy.

Exclusion Criteria

* None. All eligible candidates will be included.
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Islam Tarek Elkhateb

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Adan hospital

Al Ahmadi, Al Ahmadi, Kuwait

Site Status

Countries

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Kuwait

References

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Singh N, Shuman S, Chiofalo J, Cabrera M, Smith A. Missed opportunities in aspirin prescribing for preeclampsia prevention. BMC Pregnancy Childbirth. 2023 Oct 7;23(1):717. doi: 10.1186/s12884-023-06039-w.

Reference Type BACKGROUND
PMID: 37805449 (View on PubMed)

Kumar NR, Speedy SE, Song J, Welty LJ, Cavens AD. Quality Improvement Initiative for Aspirin Screening and Prescription Rates for Preeclampsia Prevention in an Outpatient Obstetric Clinic. Am J Perinatol. 2024 May;41(S 01):e917-e921. doi: 10.1055/s-0042-1759705. Epub 2022 Dec 30.

Reference Type BACKGROUND
PMID: 36584691 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Related Links

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Other Identifiers

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QIP1

Identifier Type: -

Identifier Source: org_study_id

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