Enhancing Diagnosis and Prevention of Cardiovascular Disease in Newham by Integrated Use of Electronic Health Records

Queen Mary University of London

Status: Completed

Conditions: Cardiovascular Disease

Treatments: Other: Enhanced Health Check

Study type: Interventional

Funder types: Other

Identifiers

NCT02486913

MCPH1C8R

Details and patient eligibility

About

The investigators will develop a "risk report" within the primary care electronic health record (EMIS) for patients attending for their National Health Service Health Check. The value of the report for reducing cardiovascular risk will be assessed qualitatively and also quantitatively in a non-randomised comparative trial.

Full description

The investigators will design a template within the primary care electronic health record (EMIS) that draws on Health Check data to provide a contemporary "risk report". Included in the report will be clear description of life-time cardiovascular risks, the factors driving those risks and how risk might be reduced through life-style and risk factor modification. The investigators will evaluate the benefits of providing patients with a risk report qualitatively by patient and clinician interviews. Quantitative analysis of the benefit of the risk report will be provided by a non-randomised comparative trial. First, a group of patients undergoing a conventional Health Check will be recalled after three months for a second Health Check, allowing measurement of the change in "Heart Age" - a convenient index of life-time cardiovascular risk. Following introduction of the risk report the investigators will recall a further group of patients for a second Health Check, allowing measurement of the change in "Heart Age". The effect of the risk report will be determined by comparing the change in Heart Age between the two groups of patients.

Enrollment: 190 patients

Sex: All

Ages: 40 to 74 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged 40-74 years

Exclusion criteria

• Prior diagnosis of heart disease, stroke, diabetes, kidney disease or dementia

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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190 participants in 2 patient groups

Conventional Health Check

No Intervention group

Description:

Patients undergoing conventional National Health Service Health Check

Enhanced Health Check

Experimental group

Description:

Patients undergoing National Health Service Health Check enhanced by risk report

Treatment:

Other: Enhanced Health Check