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High rates of recurrent cardiovascular events and readmission after percutaneous coronary intervention (PCI) are important issues. Guidelines emphasize rehabilitation and secondary prevention. But many patients are lack of effective management after PCI.This study is aimed to examine the effect of mobile application (APP)-based multifaceted management on the improvement of long-term care after PCI.
This is a cluster-randomized controlled trial to evaluate the effect of APP-based multifaceted management strategy on improvement of long-term care for medication adherence,risk factor control, and reduction of adverse events, readmission rate and mortality after PCI.It includes knowledge education, medication reminder,advice provision, support to change lifestyle behaviors. The program is interactive between care provider and patients. A total of 20 wards will be randomly assigned to intervention or usual care.Anticipated 1100 patients after PCI will be participated in the trial. All the participants will be followed up until 12 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intervention | Experimental | APP-based multifaceted management, including sending education material, everyday medication reminder, giving risk factor control support, clinical support to patients after PCI through APP. |
|
| control | No Intervention | usual care without APP |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| APP-based multifaceted management | Other | Patients after PCI will be regularly given education materials, medication reminders, life-style behaviors instruction through APP. Cardiologists can interact with patients on advice provision and clinical support after discharge through APP. |
| Measure | Description | Time Frame |
|---|---|---|
| evidence-based medication adherence (the proportion of participants taking 3 medications (aspirin, P2Y12 receptor inhibitor, statin) without contraindications) | the proportion of participants taking 3 medications (aspirin, P2Y12 receptor inhibitor, statin) without contraindications | at 12 months after PCI |
| Measure | Description | Time Frame |
|---|---|---|
| rate of LDL-C achieving target | rate of LDL-C achieving target based on guideline | at 12 months after PCI |
| rate of systolic blood pressure achieving target | rate of systolic blood pressure achieving target based on guideline |
| Measure | Description | Time Frame |
|---|---|---|
| smoking status (the proportion of participants with smoking cessation) | the proportion of participants with smoking cessation | at 12 months after PCI |
| rehabilitation (the proportion of participants who receive rehabilitation program) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| HAIYAN XU | Contact | hyxu@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Yongjian Wu | Chinese Academy of Medical Sciences, Fuwai Hospital | Study Chair |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26187183 | Background | Tian M, Ajay VS, Dunzhu D, Hameed SS, Li X, Liu Z, Li C, Chen H, Cho K, Li R, Zhao X, Jindal D, Rawal I, Ali MK, Peterson ED, Ji J, Amarchand R, Krishnan A, Tandon N, Xu LQ, Wu Y, Prabhakaran D, Yan LL. A Cluster-Randomized, Controlled Trial of a Simplified Multifaceted Management Program for Individuals at High Cardiovascular Risk (SimCard Trial) in Rural Tibet, China, and Haryana, India. Circulation. 2015 Sep 1;132(9):815-24. doi: 10.1161/CIRCULATIONAHA.115.015373. Epub 2015 Jul 17. |
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management methods,outcomes including medication use, events of patients can be available on request.
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|
| at 12 months after PCI |
| readmission rate | readmission rate after PCI | 12 months after PCI |
the proportion of participants who receive rehabilitation program
| 12 months after PCI |