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Anticoagulation Therapy in the Very Old (ATIVO)

2021年8月14日 更新者:Robert Stein

ATIVO Study - Anticoagulation Therapy in the Very Old

This study is designed to evaluate the efficacy and safety of warfarin anticoagulation in the very old and attempt to identify risk factors which may impede safe and effective anticoagulation.

研究概览

地位

完全的

条件

干预/治疗

详细说明

This is a prospective registry study with data being collected continuously for 24 months.

Patients who have electrocardiographically confirmed atrial fibrillation, are being followed by the Pen Bay Medical Center Anticoagulation Services and are at least 90 years old will be recruited into the study. A matched cohort of patients between the ages of 80 and 89 and another matched cohort of patients between the ages of 70 and 79 will also be recruited into the study for comparison.

Data related to adverse events, concomitant medications, living arrangements, mobility and alcohol use will be collected every 6 months. In addition the CHA2DS2-VASc (score for atrial fibrillation stroke risk), HAS - BLED (major bleeding risk score for patients on anticoagulation), frailty and Mini Cog scores will be recalculated at each visit.

研究类型

观察性的

注册 (实际的)

132

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Maine
      • Rockport、Maine、美国、04856
        • Penobscot Bay Medical Center

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

70年 及以上 (年长者)

接受健康志愿者

有资格学习的性别

全部

取样方法

非概率样本

研究人群

All patients seen by the PBMC Anticoagulation Services who are taking warfarin, have atrial fibrillation aged 90 years and older will be invited to participate in the study. A matched cohort of patients aged 80-89 will also be enrolled as well as another matched cohort of patients aged 70-79 who are on warfarin for atrial fibrillation will be enrolled.

描述

Inclusion Criteria:

  • 70 years of age or older
  • electrocardiographically confirmed atrial fibrillation
  • anticipated regular follow up with patient by Penobscot Bay Medical Center (PBMC) Anticoagulation Services
  • Subject or legally authorized representative must be willing to provide informed consent

Exclusion Criteria:

- Patients not being followed by the PBMC Anticoagulation Services

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 观测模型:队列
  • 时间观点:预期

队列和干预

团体/队列
干预/治疗
Aged 90 and older
Subjects 90 years and older with atrial fibrillation, taking warfarin, followed by the Penobscot Bay Medical Center Anticoagulation Services.
Patients on warfarin for atrial fibrillation
其他名称:
  • Coumadin, Jantoven
Aged 80-89
Subjects aged 80-89 with atrial fibrillation, taking warfarin, followed by the Penobscot Bay Medical Center Anticoagulation Services.
Patients on warfarin for atrial fibrillation
其他名称:
  • Coumadin, Jantoven
Aged 70-79
Subjects aged 70-79 with atrial fibrillation, taking warfarin, followed by the Penobscot Bay Medical Center Anticoagulation Services.
Patients on warfarin for atrial fibrillation
其他名称:
  • Coumadin, Jantoven

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Number of Patients Experiencing Stroke
大体时间:24 months
Every 6 months the medical record was reviewed for evidence of stroke of any cause.
24 months
Number of Patients Experiencing a Major Bleeding Event
大体时间:24 months
defined as one of the following: fatal bleeding, symptomatic bleeding in a critical area or organ or bleeding causing a fall in hemoglobin of 2 g/dl or more or leading to a transfusion of 2 or more units of whole blood or red cells
24 months

次要结果测量

结果测量
措施说明
大体时间
Number of Patients Experiencing a Traumatic Subdural Hemorrhage
大体时间:24 months
Number of subjects who experienced a traumatic subdural hemorrhage in each age group
24 months
Number of Patients Experiencing a Traumatic Intracerebral Hemorrhage
大体时间:24 months
Number of subjects who experienced a traumatic intracerebral hemorrhage in each age group
24 months
Number of Hospitalizations Patients Experienced
大体时间:24 months
Every 6 months the medical record was reviewed for any hospitalizations experienced by the subject within our healthcare system.
24 months
Number of Patients Experiencing Cardiovascular Death
大体时间:24 months
Every 6 months the medical record was reviewed. All deaths were researched for cause and noted if the cause was related to the cardiovascular system.
24 months
Number of Patients Experiencing Death Related to Anticoagulation
大体时间:24 months
All deaths were reviewed in the medical record to determine the cause and if it was related in any way to the use of anticoagulation therapy.
24 months
Mean Time in Therapeutic Range at End of Study Participation
大体时间:up to 24 months
International Normalized Ratio (INR) time in therapeutic range at the end of the individual's study participation.
up to 24 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

调查人员

  • 首席研究员:Robert W. Stein, MD、MaineHealth

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2017年3月20日

初级完成 (实际的)

2019年9月3日

研究完成 (实际的)

2019年9月3日

研究注册日期

首次提交

2017年4月1日

首先提交符合 QC 标准的

2017年4月1日

首次发布 (实际的)

2017年4月6日

研究记录更新

最后更新发布 (实际的)

2021年8月17日

上次提交的符合 QC 标准的更新

2021年8月14日

最后验证

2021年8月1日

更多信息

与本研究相关的术语

其他研究编号

  • PenobscotBMC

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

IPD 计划说明

date will not be shared

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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