Acute Coronary Syndrome Clinical Trial
Official title:
Improving Care for Patients With Acute Coronary Syndrome: Acute Coronary Syndrome Sri Lanka Audit Project (ACSSLAP)
ACSSLAP is the first island wide audit project in Sri Lanka on ACS.
Acute coronary syndrome is a leading cause of morbidity and mortality in the world. Even
though up-to-date epidemiological data are not available, as per the institutional level
experiences this is not differ much in the local settings. Having a free health care system,
government of Sri Lanka has to allocate billions of funds and resources from the annual
budget for the maintenance of health care system. Being a developing nation this is a
considerable burden to the economy of the country. However, prioritization during resource
allocation will prevent mal-distribution of limited resources.
Health care system in Sri Lanka should deliver free as well as quality care to the nation.
However, lack of updated guidelines in Sri Lanka for the management for acute coronary
syndrome (ACS) is a drawback. American College of Cardiology (ACC) and the European Heart
Association (EHA) have developed evidence based and most up to date guidelines to
standardize clinical practices in the management of ACS. It is recommended to adhere to
local or International guidelines to deliver optimal and quality care to ACS patients.
In Sri Lanka, no audits have been conducted in the health sector in relation to patient
management practices in the past. Even though institutional level audits have been carried
out time to time for the purpose of allocating medicines and other diagnostic resources,
island wide large scale audits have not been carried out. Therefore, conducting an audit on
health recourse allocation and patient management clinical practices has become a high
priority.
Investigators selected ACS as the most important clinical discipline to conduct an audit
based on the institutional level data. This audit is included as a well-designed set of
clinical criteria derived from the Myocardial Ischemia National Audit Project (MINAP) in UK,
SNAPSHOT ACS study in Australia and New Zealand, American College of Cardiology and European
Health Association guidelines. These criteria have been extensively reviewed by a panel of
cardiologists and physicians to customize it according to the local requirements.
This project will be Coordinated by the Department of Pharmacology, Faculty of Medicine,
University of Colombo in collaboration with the Sri Lanka Heart Association, Ceylon College
of Physicians and will be carried out through the Quality and safety Unit of the Ministry of
Health, Sri Lanka. Funding is sought from the Ministry of Health
;
Observational Model: Cohort, Time Perspective: Prospective
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT06013813 -
Conventional vs. Distal Radial Access Outcomes in STEMI Patients Treated by PCI
|
N/A | |
| Recruiting |
NCT05846893 -
Drug-Coated Balloon vs. Drug-Eluting Stent for Clinical Outcomes in Patients With Large Coronary Artery Disease
|
N/A | |
| Recruiting |
NCT05412927 -
AngelMed Guardian® System PMA Post Approval Study
|
||
| Completed |
NCT02750579 -
Early or Delayed Revascularization for Intermediate and High-risk Non ST-elevation Acute Coronary Syndromes?
|
N/A | |
| Completed |
NCT04102410 -
Assessing Force-velocity Profile: an Innovative Approach to Optimize Cardiac Rehabilitation in Coronary Patients
|
N/A | |
| Enrolling by invitation |
NCT03342131 -
Serum Concentration of Wnt2 and Wnt4 in Patients With Acute Coronary Syndrome
|
N/A | |
| Recruiting |
NCT01218776 -
International Survey of Acute Coronary Syndromes in Transitional Countries
|
||
| Enrolling by invitation |
NCT04676100 -
International CR Registry
|
||
| Completed |
NCT03590535 -
5th Generation cTnT in ED ACS
|
||
| Recruiting |
NCT05437900 -
INSIGHTFUL-FFR Clinical Trial
|
Phase 4 | |
| Completed |
NCT05551429 -
Factors Related to Participation in Cardiac Rehabilitation in Patients With Acute Coronary Syndrome
|
||
| Terminated |
NCT04316481 -
IDE-ALERTS Continued Access Study
|
N/A | |
| Active, not recruiting |
NCT04475380 -
Complex All-comers and Patients With Diabetes or Prediabetes, Treated With Xience Sierra Everolimus-eluting Stents
|
||
| Not yet recruiting |
NCT04852146 -
Electronic Feedback for Data Restitution and Valorization to the Emergency Teams in Aquitaine.
|
||
| Active, not recruiting |
NCT02892903 -
In the Management of Coronary Artery Disease, Does Routine Pressure Wire Assessment at the Time of Coronary Angiography Affect Management Strategy, Hospital Costs and Outcomes?
|
N/A | |
| Not yet recruiting |
NCT02871622 -
BMX Alpha Registry: a Post-market Registry of the BioMatrix Alpha TM
|
N/A | |
| Completed |
NCT04077229 -
Piloting Text Messages to Promote Positive Affect and Physical Activity
|
N/A | |
| Completed |
NCT02944123 -
Half Dose of Prasugrel and Ticagrelor in Acute Coronary Syndrome (HOPE-TAILOR)
|
Phase 3 | |
| Active, not recruiting |
NCT02922140 -
The Impact of Pharmaceutical Care Practice on Patients in Cardiac Rehabilitation Unit
|
N/A | |
| Terminated |
NCT02620202 -
Aiming Towards Evidence Based Interpretation of Cardiac Biomarkers in Patients Presenting With Chest Pain
|