NCT00958958

Brazilian Intervention to Increase Evidence Usage in Practice - Acute Coronary Syndromes

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,150 (actual)
• Sponsor: Hospital do Coracao · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Phase 1: An observational study (registry) will be conducted which will objectively document the ACS clinical practice in Brazilian public hospitals, and identify the important barriers for the evidence usage incorporation in the clinical practice. Phase 2: A Cluster randomized clinical trial in which public hospital will be randomized to receive or not a multifaceted strategy in order to increase evidence based therapy in clinical practice.

Detailed description

STUDY POPULATION: Patients with thoracic pain who the emergency department physician suspects of ACS and plans start a treatment for this issue; It will be excluded patients transferred of others institutions with 12 hours of symptoms. PROGRAM: There are multifaceted Interventions Including 1. Distribution of educational materials 2. Case manager: Use of a trained person who works in the hospital and will be responsible to assure that all interventions were used 3. Reminders: specific information that is designed or intended to prompt a health professional to recall information (patient bracelets, labels, posters, pocket cards, checklists). 4. Practical training ENDPOINTS: Phase 1 Primary outcome; patient who've received interventions based on evidence proportion informed by the indicators; Phase 2 Primary outcome: Increase of prescription of evidence based treatment in clinical practice Secondary outcome Total mortality and major cardiovascular events

Conditions

• Acute Coronary Syndrome

Interventions

Type	Name	Description
OTHER	multifaceted strategy	There are multifaceted Interventions Including 1. Distribution of educational materials: distribution of published or printed recommendations for clinical care. 2. Case manager: Use of a trained person who works in the hospital and will be responsible to assure that all interventions were used 3. Reminders 4. Practical training

Timeline

• Start date: 2010-01-01
• Primary completion: 2012-02-01
• Completion: 2012-02-01
• First posted: 2009-08-14
• Last updated: 2012-02-28

Locations

1 site across 1 country: Brazil