An evaluation of cardiac rehabilitation and secondary prevention uptake and utilisation for acute coronary syndrome patients.

• Register: ANZCTR
• Last refreshed on: 13 January 2020
• Main ID: ACTRN12615001247561
• Date of registration: 13/11/2015
• Prospective Registration: Yes
• Primary sponsor: Curtin University
• Public title: An evaluation of cardiac rehabilitation and secondary prevention uptake and utilisation for acute coronary syndrome patients.
• Scientific title: Evaluation of quality of care in cardiac rehabilitation for acute coronary syndrome patients.
• Date of first enrolment: 01/12/2015
• Target sample size: 1000
• Recruitment status: Not yet recruiting
• URL: https://anzctr.org.au/ACTRN12615001247561.aspx
• Study type: Interventional
• Study design: Purpose: Treatment; Allocation: Non-randomised trial;

Countries of recruitment

Australia, China

Contacts

• Name: A/Prof Andrew Maiorana

• Name: A/Prof Andrew Maiorana

Key inclusion & exclusion criteria

Inclusion criteria: Clinical Audit: All patients admitted at FSH with a diagnosis of ACS during the two cycles of audit (for the six month periods beginning 1 January 2016 and 2017 respectively) will be included in the Audit.

Patient Survey: Current patients admitted to FSH with an ACS during the strudy period.

Staff Survey: Currently employed staff who working at cardiology department of FSH as a care giver providing cardiology service to both outpatient and inpatient are eligible to participate the study.

Patient Focus Groups & Staff Interviews: One in four of the patients who returned surveys will be randomly selected and contacted by a phone call from the research team to take part in focus group discussions. Similarly, staff will be randomly selected to take part in face-to-face interviews subsequent to the surveys since it is unlikely to be possible to arrange a group discussion for medical/health staff in a busy clinical setting.

Exclusion criteria: Hospitality mortality data will be reviewed and invitation letters or phone calls for participating the survey and focus group discussion will not be sent to the addresses of deceased patients.

Age minimum: 18 Years
Age maximum: 80 Years
Gender: Both males and females

Health Condition(s) or Problem(s) studied

Acute Coronary Syndrome;
Acute Coronary Syndrome

Cardiovascular - Coronary heart disease

Intervention(s)

1. Based on data collected from the first cycle of clinical audit, as well as surveys and group discussions, quality improvement initiatives will be developed and implanted. This may include redesigning the cardiac rehabilitation referral system, improving patient education program, developing advocacy programs for cardiac rehabilitation and secondary prevention among patients and staff, developing alternative models of cardiac rehabilitation and secondary prevention etc.
2. After the first cycle of clinical audit, current ACS patients will be asked to complete a survey (and some to attend focus groups) and Cardiology Ward staff will be invited to complete a survey (and some attend individual interviews with the researchers).
3. Quality improvement initiatives will be developed and implanted between the two audit cycles within a period of 6 months. The effectiveness of the initiatives will be evaluated through the second cycle of clinical audit.

Primary Outcome(s)

Change in the number of admitted ACS patients receiving guideline advocated secondary prevention therapies. This the outcome will be assessed through the second cycle of clinical audit by review medical records with indicators including utilization of evidence based medecine, referral for cardiac rehabilitation program, risk factor monitoring and control etc. [3 months after performance improvement strategies developed and implemented.]

Change in the number of admitted ACS patients receiving core components of cardiac rehabilitation. This the outcome will be assessed through the second cycle of clinical audit by review of medical records, FSH electronic referral system with indicators including referral rates, participation and completion rates of cardiac rehabilitation etc. [3 months after performance improvement strategies developed and implemented.]

Secondary Outcome(s)

Cardiac rehabilitation refferal rates will be monitored by using the electronic cardiac rehabilitation referral system after the implementation of quality improvement initiatives.. [6 months after performance improvement strategies developed and implemented.]

Secondary ID(s)

NIL

Source(s) of Monetary Support

Curtin University PhD student research funding

Ethics review

Status: Not approved
Approval date:
Contact:

Royal Perth Hospital HREC