Repositório Digital

A- A A+

Telemedicine-supported transition of stable coronary artery disease patients from tertiary to primary health care facilities : protocol for a randomized non-inferiority trial

.

Telemedicine-supported transition of stable coronary artery disease patients from tertiary to primary health care facilities : protocol for a randomized non-inferiority trial

Mostrar registro completo

Estatísticas

Título Telemedicine-supported transition of stable coronary artery disease patients from tertiary to primary health care facilities : protocol for a randomized non-inferiority trial
Autor Batista, Joanna d'Arc Lyra
Furtado, Mariana Vargas
Katz, Natan
Agostinho, Milena Rodrigues
Silva Neto, Brasil
Harzheim, Erno
Polanczyk, Carisi Anne
Data 2016
Assunto Doença da artéria coronariana
Telemedicina
[en] Coronary artery disease
[en] Randomized clinical trial
[en] Telemedicine
Abstract Background: Many Brazilian patients with complex diseases who are treated in tertiary referral clinics have been stable for long periods. The main needs of these patients involve monitoring of risk factors and review of drug prescriptions, which could be satisfactorily done in primary care facilities. The goal of this protocol is to evaluate the safety and effectiveness of telemedicine services to support the transition of patients with stable chronic coronary artery disease from the tertiary to the primary level of care. Methods/design: We designed a randomized non-inferiority protocol that will include 280 patients with stable coronary artery disease (for at least 12 months). Patients will be selected from the Ischemic Heart Disease Clinic in a tertiary care hospital in southern Brazil. Enrolled participants will be randomized into one of two groups: 12 months of follow-up at the same clinic; or 12 months of follow-up at a primary care facility with clinical support from a telemedicine platform including a toll-free line for physicians (intervention group). In the intervention group, decisions to refer patients to tertiary care during follow-up will be made jointly by primary physicians and medical teleconsultants. The groups will be compared in terms of the primary outcome—maintenance of baseline functional class 1 or 2 after 12 months. Secondary outcomes include control of risk factors and instability of the disease. Discussion: We intend to determine the effectiveness of using telemedicine to qualify the transition of patients with chronic coronary disease from the tertiary to the primary level of care. This should facilitate the access of patients to the healthcare system, since care will be provided closer to their homes, and provide more opportunities for treatment of severe cases at tertiary care hospitals that are often overcrowded.
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/148850
Arquivos Descrição Formato
000998332.pdf (541.0Kb) Texto completo (inglês) Adobe PDF Visualizar/abrir

Este item está licenciado na Creative Commons License

Este item aparece na(s) seguinte(s) coleção(ões)


Mostrar registro completo

Percorrer



  • O autor é titular dos direitos autorais dos documentos disponíveis neste repositório e é vedada, nos termos da lei, a comercialização de qualquer espécie sem sua autorização prévia.
    Projeto gráfico elaborado pelo Caixola - Clube de Criação Fabico/UFRGS Powered by DSpace software, Version 1.8.1.