Clinical Trials Directory

Trials / Recruiting

RecruitingNCT06344910

PRagmatic Study Of Messaging to Providers of Patients With Heart Failure in Amsterdam UMC

Status
Recruiting
Phase
Study type
Observational
Enrollment
900 (estimated)
Sponsor
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · Academic / Other
Sex
All
Age
18 Years
Healthy volunteers
Not accepted

Summary

This is a prospective cohort study, where the investigators aim to investigate the effect of implementation of an electronic nudge alerting clinicians to the prescription of the 4 key pharmacological classes for the treatment of patients with heart failure and reduced ejection fraction (HFrEF) at the outpatient clinic in the Netherlands.

Conditions

Interventions

TypeNameDescription
OTHERBest practice alert for the notification of patients with HFrEF and recommended evidence-based therapiesAn algorithm will check if the patients if the patient has an age \>18 year and is treated at the cardiology department for HFrEF. The use of GDMT is determined using prescriptions data electronic health records (EHR). If the patient does not receive treatment for all 4 drug classes (ACE/ARB/ARNi, beta-blocker, MRA, SGLT2-inhibitor), an electronic alert will be displayed suggesting the clinician to prescribe additional medication when clinically indicated, including relevant recent laboratory results (renal function and electrolytes) and other relevant measures (LVEF, blood pressure and heart rate). The alert is linked to an order set to aid in the prescription of GDMT according to current guidelines. Results will compared to a retrospective cohort (t=-12 to t=-6) months, and a silent mode cohort (t=-6 to t=0 months, in which a paired and a before and after analysis will be performed to evaluate the effect of the alert.

Timeline

Start date
2024-05-21
Primary completion
2025-05-01
Completion
2025-12-01
First posted
2024-04-03
Last updated
2024-08-09

Locations

2 sites across 1 country: Netherlands

Regulatory

Source: ClinicalTrials.gov record NCT06344910. Inclusion in this directory is not an endorsement.