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| ID | Type | Description | Link |
|---|---|---|---|
| 401463/2013-3 | Other Grant/Funding Number | MCTI/CNPq/Ministry of Health - SCTIE/DECIT |
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| Name | Class |
|---|---|
| Conselho Nacional de Desenvolvimento CientÃfico e Tecnológico | OTHER_GOV |
| Ministry of Health, Brazil | OTHER_GOV |
| Federal University of Rio Grande do Sul | OTHER |
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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.
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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tertiary care | No Intervention | Outpatient from tertiary care with discharge criteria who remains in the tertiary care. | |
| Primary care | Experimental | Outpatient discharge from tertiary care to a primary care near the patient's home with the support of telemedicine. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telemedicine | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants that stay in Canadian Cardiovascular Society (CCS) Functional Classification of Angina I and II as a measure of safety | Not evolve into a higher class than the measure before the intervention | within one year after discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with instability of the disease | the need to seek emergency care for cardiovascular disease post intervention. | within one year after discharge |
| blood pressure control | verified to maintain systemic blood pressure from the observation of a variation of at least 5% in pre and post intervention measurements |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with control of tobacco | remain without smoking for non smokers; and smoking cessation for smokers | within one year after discharge |
| Number of participants in physical activity | maintenance or start regular physical activity post intervention |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Carisi A Polanczyk, PhD | Contact | +55 51 33596359 | carisi.anne@gmail.com | |
| Joanna Lyra, PhD | Contact | + 55 51 33596325 | joannalyra@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Carisi A Polanczyk, PhD | Hospital de ClÃnicas de Porto Alegre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Instituto de Avaliação de Tecnologia em Saúde (Institute of Technology Assessment in Health) | Recruiting | Porto Alegre | Rio Grande do Sul | 90035-903 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32188310 | Derived | 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. | |
| 27387752 |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D017216 | Telemedicine |
| D011320 | Primary Health Care |
| ID | Term |
|---|---|
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
| D003191 | Comprehensive Health Care |
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| within one year after discharge |
| dyslipidemia control | verified to maintain dyslipidemia control through laboratory examination, from the observation of a variation of at least 5% in pre and post intervention measurements of Low Density Lipoproteins (LDL) in blood | within one year after discharge |
| diabetes control | verified to maintain diabetes control through laboratory examination, from the observation of a variation of at least 5% in pre and post intervention measurements of fasting glucose in the blood | within one year after discharge |
| within one year after discharge |
| Access to primary health care | medical consultation in Basic Health Unit held with assessment of current medications and providing prescription. | within six months and one year after discharge |
| 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. |
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |