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

Hospital do Coracao

Status: Completed

Conditions: Acute Coronary Syndrome

Treatments: Other: multifaceted strategy

Study type: Interventional

Funder types: Other

Identifiers

NCT00958958

IEP012009

Details and patient eligibility

About

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.

Full 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

Enrollment: 1,150 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Patient Eligibility criteria

Inclusion Criteria:

• Patients with thoracic pain who the emergency department physician suspects of ACS and plans start a treatment for this issue

Exclusion Criteria:

• Patients transferred from others institutions within 12 hours of the symptoms

Cluster Eligibility Criteria

• National Public Hospitals with emergency department. A cluster can be one hospital with emergency department, or 2 or more hospitals (for example: 1 emergency hospital and 1 general hospital which receive the patients to perform PCI).

Trial design

1,150 participants in 2 patient groups

Quality improvement program

Other group

Description:

There are multifaceted Interventions for the clinic hospital team Including 1. Distribution of educational materials 2. Case manager 3. Reminders 4. Practical training

Treatment:

Other: multifaceted strategy

Hospital standard treatment

No Intervention group

Description:

Hospital standard treatment