Study of the Efficiency of Education About Cardiovascular Risk Factors in Patients After an Acute Coronary Syndrome
12. april 2013 opdateret af: Pr Ariel Cohen, Resicard
A Network to Control Risk Factors After Acute Coronary Syndrome
The purpose of this study is to determine whether the follow up of patients with acute coronary syndrome and modifiable cardiovascular risk factors is efficient based on outpatients visits in a House of Education, underlining the importance of nicotinic weaning, weight loss and physical activity practice.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Objectives
- The main purpose of this study is to evaluate the efficiency of "Resicard Prevention", which is a structured health network within a House of Education located outside of the hospital and based on outpatients' visits.
- Another purpose is to facilitate and optimize physicians and all health members communication around the acute coronary syndrome patients.
Method
After randomization, patients are directed to one of the two following groups: the conventional network group or the structured network group. Six and twelve months after their hospitalization, a blood test will be performed and their weight, blood pressure, waist measurement and cardiac frequency will be recorded in order to monitor patients' cardiovascular risk factors.In any case, patients receive optimal care with the participation of different health members (such as nurses, doctors, dietician...).
a-The conventional network group
Patients are taken care of, according to good medical practice by their usual general practitioner and cardiologist. The frequency of consultations is set up according to symptoms. The follow up of patients is optimized as they are taken care of by a multidisciplinary health team.
b-The structured network group
- Patients in this group will have to consult their general practitioner and cardiologist within the first month after their hospitalization. Two forms summarizing their hospitalization facts and the objectives of the risk factors correction will be electronically sent to their general practitioner, to their cardiologist and to the House of Education. Patients have appointments at the House of Education where a multidisciplinary team (with a nurse, a dietician,...) welcomes them. They set up a schedule according to patients' needs:
- consultation for nicotinic weaning
- some dietary advice in order to lose weight
- some specific advice on diabetes and/or hypercholesteremia
- information about high blood pressure
- some advice to pursue a regular physical activity After each appointment at the House of Education, a form summarizing the risk factors will be provided electronically to patients' general practitioner and cardiologist.
- Conclusion -This evaluation protocol should demonstrate the efficiency of a health network based on the correction of modifiable cardiovascular risk factors within a House of Education in secondary prevention after an acute coronary syndrome.
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
504
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
-
Aubervilliers, Frankrig, 93300
- Clinique la Roseraie
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Paris, Frankrig, 75010
- Hôpital Lariboisière
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Paris, Frankrig, 75020
- Hôpital Tenon
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Paris, Frankrig, 75013
- Hôpital Pitie Salpétrière
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Paris, Frankrig, 75018
- Hôpital Bichat
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Paris, Frankrig, 75011
- Hopital Saint Antoine
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- age > 18 years
- hospitalization for acute coronary syndrome (ST segment elevation myocardial infarction, non-ST segment elevation myocardial infarction, unstable angina)
- cardiovascular risk factors during hospitalization (active and current smoking, sedentary lifestyle, obesity, overweight)
- autonomy
- agreement to visit the House of Education
- signature of a assent
Exclusion Criteria:
- lack of understanding or phrasing
- refusal to sign the consent form
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Ingen indgriben: conventional
This arm is the conventional way of taking care of patients after an acute coronary syndrome
|
|
|
Aktiv komparator: structured
This arm is an active way to monitor and educate patients after their acute coronary syndrome, with the intervention of health members in a House of Education
|
education of acute coronary syndrome patients, mostly about nicotinic weaning, weight loss and physical activity
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
nicotinic weaning
Tidsramme: 1year
|
1year
|
|
weight loss at least 5%
Tidsramme: 1 year
|
1 year
|
|
waist reduction at least 4%
Tidsramme: 1 year
|
1 year
|
|
physical activity at least 30 minute per day (3h per week)
Tidsramme: 1 year
|
1 year
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
correction of nicotinic addiction, overweigh and lack of physical activity all together
Tidsramme: 1 year
|
1 year
|
|
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correction of each risk factor of primary outcome, individually
Tidsramme: 1 year
|
1 year
|
|
|
correction of the other risk factors
Tidsramme: 1 year
|
arterial hypertension inferior to 140/90 Hgmm; low density lipoprotein cholesterol inferior to 1g/l
|
1 year
|
|
diabetes mellitus with HbA1C inferior to 7%
Tidsramme: 1 year
|
1 year
|
|
|
quality of life with mental and physical scores (SF-12)
Tidsramme: 1 year
|
1 year
|
|
|
patient's level of knowledge of the disease: number of correct answers to 19 questions
Tidsramme: 1 year
|
1 year
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Efterforskere
- Ledende efterforsker: Ariel Cohen, Pr, Hôpital St Antoine
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. juli 2006
Primær færdiggørelse (Faktiske)
1. juli 2008
Studieafslutning (Faktiske)
1. september 2009
Datoer for studieregistrering
Først indsendt
14. juni 2006
Først indsendt, der opfyldte QC-kriterier
14. juni 2006
Først opslået (Skøn)
16. juni 2006
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
15. april 2013
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
12. april 2013
Sidst verificeret
1. april 2013
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- Resicard Prevention
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .