- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02921464
Florida Cardiovascular Quality Network (FCQN)
September 29, 2016 updated by: William David, MD, FACC, Florida Cardiovascular Quality Network
Florida Cardiovascular Quality Network Application of Clinical Decision Support Software Tools at the Point of Care in Patients with Stable Ischemic Heart Disease - a Quality Outcomes Registry
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
The Florida Cardiovascular Quality Network (FCQN) is a quality outcomes registry.
In a diverse group of clinical sites in Florida, a large number of patients with known or possible stable ischemic cardiovascular disease (SIHD) referred for cardiovascular stress test will be enrolled in this quality demonstration registry.
This registry is based on the hypothesis that evidence-based clinical guidelines and appropriate use criteria (AUC), when provided at the site and time of care (point of care), may improve physician clinical decisions and, thus, the overall quality and value of care for individual patients and populations.
Specifically, this study registry will utilize multiple proven software tools at the point of care: (1) Seattle Angina Questionnaire (SAQ) as the method of measurement of patient angina symptoms; (2) FOCUS, American College of Cardiology (ACC) software to provide clinical decision support (CDS) as the primary method of determination of AUC in patients with a clinical indication for a cardiovascular stress test; (3) CATH/PCI, ACC / National Cardiovascular Data Registry (NCDR) to provide clinical decision support as the primary method of determination of AUC in the cardiac catheterization laboratory; (4) PINNACLE, ACC/NCDR clinical registry to provide an extensive database of clinical quality metrics; and (5) ACC CARDIOSMART software modules as the primary patient education tool for effective risk factor modification.
The application of these clinically proven software tools, all applied at the point of patient care, may assist physician compliance with ACC guideline based AUC and may directly result in an increase in SIHD patients treated with guideline directed medical treatment as well as guideline directed interventional treatment.
It is anticipated that this increased compliance with ACC guidelines and AUC may directly correlate with improved patient clinical outcomes.
Study Type
Observational
Enrollment (Anticipated)
4000
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: William David, MD
- Phone Number: 904-472-4444
- Email: wdavid2@cfl.rr.com
Study Contact Backup
- Name: A Allen Seals, MD
- Phone Number: 904-472-4444
- Email: aseals@bakergilmour.com
Study Locations
-
-
Florida
-
Lake Mary, Florida, United States, 32746
- Recruiting
- Cardiovascular Center
-
Contact:
- William David, MD
- Phone Number: 407-833-8028
- Email: wdavid2@cfl.rr.com
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Group A patients will be identified by no established SIHD, but presenting with symptoms consistent with myocardial ischemia; Group B patients will be idenitified by Established SIHD and symptoms of myocardial ischemia.
All patients will have: (1) Indications for functional stress testing.
All functional stress tests will be designed to provoke cardiac ischemia by using exercise or pharmacological stress agents; (2) Multiple (>3) cardiac risk factors including male gender, age > 50 years old, diabetes mellitus, hypertension, hyperlipidemia, nicotine exposure, and/or family history of cardiovascular disease.
Description
INCLUSION CRITERIA:
- Patient presents for evaluation of SIHD and meets patient eligibility criteria as defined as SIHD Group A or SIHD Group B patient.
- Patient is over 21 years of age
- Patient is a stable clinic patient with the intention to continue in continuous medical care for the duration of the registry.
EXCLUSION CRITERIA:
- Patient is diagnosed with acute coronary syndrome (unstable angina, myocardial infarction -either non-STEMI or STEMI)
- Patient has a concomitant medical illness that may limit survival to less than 1 year
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Group A
Group A - without known pre-existing SIHD
|
|
Group B
Group B - with known pre-existing SIHD.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Angina Classification
Time Frame: 1 year
|
Angina Classification derived from Seattle Angina Questionaire (SAQ)
|
1 year
|
Appropriate Use Criteria (AUC) for Stress Test
Time Frame: 1 year
|
AUC derived from FOCUS clinical decision support software
|
1 year
|
Appropriate Use Criteria (AUC) for Coronary Intervention
Time Frame: 1 year
|
AUC derived from CATH/PCI data
|
1 year
|
Fractional Flow Reserve (FFR)
Time Frame: 1 year
|
FFR derived from CATH/PCI data
|
1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Composite Adverse Cardiac Events - Death, Myocardial Infarction, Hospitalization for Acute Coronary Syndrome - correlate with Angina Classification, SAQ, and AUC for Stress Testing
Time Frame: 1 year
|
Adverse Cardiac Events derived from case report form and PINNACLE database
|
1 year
|
Composite Adverse Cardiac Events - Death, Myocardial Infarction, Hospitalization for Acute Coronary Syndrome - correlate with Coronary Intervention AUC and FFR
Time Frame: 1 year
|
Adverse Cardiac Events derived from case report form and PINNACLE database
|
1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
June 1, 2016
Primary Completion (Anticipated)
May 1, 2018
Study Registration Dates
First Submitted
August 8, 2016
First Submitted That Met QC Criteria
September 29, 2016
First Posted (Estimate)
October 3, 2016
Study Record Updates
Last Update Posted (Estimate)
October 3, 2016
Last Update Submitted That Met QC Criteria
September 29, 2016
Last Verified
August 1, 2016
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 201600631
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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