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NCT ID: NCT02858674 Completed - Heart Failure Clinical Trials

Health Information Technology in Heart Failure Care

Start date: April 1, 2017
Phase: N/A
Study type: Interventional

The objective of this proposal is to develop, implement, and test the effectiveness of a computerized clinical decision support system for hospitalized patients with heart failure. Aim 1: Develop an electronic health record (EHR) based search method that uses both structured data and natural language processing of unstructured text to identify hospitalized patients with heart failure while they are still in the hospital. Aim 2: Develop and test the usability of an electronic health record (EHR) based clinical decision support system (CDSS) to support delivery of evidence-based care to hospitalized heart failure patients using human computer interaction methods. Aim 3: Assess the effect of an electronic health record (EHR) based clinical decision support system (CDSS) on processes of care for heart failure patients who are hospitalized for other causes. As part of the evaluation, we will test two implementation strategies, one of which will introduce the CDSS as an interruptive alert to providers, the second of which will introduce the CDSS as part of a provider checklist that exists on the side of the screen for each patient.

NCT ID: NCT02905929 Completed - Sedentary Lifestyle Clinical Trials

Trial to Reduce Sitting Time in Postmenopausal Latina Women at Increased Risk for Heart Disease

Start date: April 1, 2017
Phase: N/A
Study type: Interventional

Project 2 of the University of California, San Diego (UCSD) American Heart Association (AHA) Women's Health Program will assess 3-month changes in sitting time, standing time, physical activity and blood pressure in a randomized control trial (RCT). This 2-arm RCT will occur in the community with post menopausal Latina women (N=250) who spend at least 8 hrs/day sitting and have increased risk for cardiovascular disease through high BMI and other cardiometabolic risk factors. Women will be identified through the San Ysidro Health Center and assessed at the South Bay Latino Research Center.

NCT ID: NCT02929108 Completed - Pain Clinical Trials

ACCESS (Access for Cancer Caregivers for Education and Support for Shared Decision Making)

ACCESS
Start date: April 1, 2017
Phase: N/A
Study type: Interventional

The project will test the effect of educating and supporting family caregivers of hospice cancer patients on their active participation in shared decision making in the plan of care for their patients.

NCT ID: NCT02935621 Completed - Chronic Pain Clinical Trials

Behavioral Interventions for Active Duty Service Members and Veterans With Chronic Pain

Start date: April 1, 2017
Phase: N/A
Study type: Interventional

The central aim of this proposed study is to test a multimodal, mindfulness-oriented intervention designed to disrupt the risk chain leading to prescription opioid dose escalation, opioid misuse and opioid addiction, which are mounting threats to active duty service members and Veterans with chronic pain conditions, who may develop disordered opioid use as a consequence of long-term opioid pharmacotherapy.

NCT ID: NCT02942784 Completed - Clinical trials for Pulmonary Disease, Chronic Obstructive

A Comparison of Three Nutritional Assessment Methods Predicting Prognosis in COPD With Respiratory Failure

Start date: April 1, 2017
Phase:
Study type: Observational

This is a retrospective study of patients diagnosed with chronic obstructive pulmonary disease (COPD) with respiratory failure and admitted in West China Hospital during January 2014 to March 2016 by review of medical records. The following variables will be retrospectively studied: age, sex, marriage, height, weight, respiratory rate, PaO2, PaCO2, nutritional risk screening 2002 (NRS 2002) score, ALB, short-term and long-term prognostic outcomes, and so on. The purpose of this study is to compare the predictive power of three widely used nutritional assessment methods (BMI, NRS 2002 and ALB) predicting the prognostic outcomes in a cohort of COPD patients with respiratory failure.

NCT ID: NCT02942797 Completed - Clinical trials for Pulmonary Disease, Chronic Obstructive

NRS 2002 as a Predictor of Prognosis in COPD With Respiratory Failure

Start date: April 1, 2017
Phase:
Study type: Observational

This is a prospective study of patients diagnosed with chronic obstructive pulmonary disease (COPD) with respiratory failure and admitted in West China Hospital during April 2017 to March 2019. The following variables will be prospectively studied: age, sex, height, weight, respiratory function indicators, arterial blood gas analysis results, biochemical data, nutritional risk screening 2002 (NRS 2002) score, short-term and long-term prognostic outcomes. The purpose of this study is to assess whether NRS 2002 is a useful prognosis predictor in COPD patients with respiratory failure.

NCT ID: NCT02943850 Completed - Clinical trials for Amyotrophic Lateral Sclerosis

CNS10-NPC-GDNF for the Treatment of ALS

Start date: April 1, 2017
Phase: Phase 1
Study type: Interventional

The investigator is examining the safety of transplanting cells that have been engineered to produce a growth factor into the spinal cord of patients with Amyotrophic Lateral Sclerosis (ALS). The cells are called neural progenitor cells, which are a type of stem cell that can become several different types of cells in the nervous system. These cells have been derived to specifically become astrocytes, which is a type of neuronal cell. The growth factor is called glial cell line-derived neurotrophic factor, or GDNF. GDNF is a protein that promotes the survival of many types of neuronal cells. Therefore, the cells are called "CNS10-NPC-GDNF." The investigational treatment has been tested in animals, but it has not yet been tested in people. In this study, we want to learn if CNS10-NPC-GDNF cells are safe to transplant into the spinal cords of people.

NCT ID: NCT02964039 Completed - Stroke Clinical Trials

A Novel Mechanics-based Intervention to Improve Post-stroke Stability

Start date: April 1, 2017
Phase: N/A
Study type: Interventional

The purpose of this study is to determine whether a novel treadmill training intervention can improve the gait stabilization strategy used by individuals who have experienced a stroke.

NCT ID: NCT02967016 Completed - Postpartum Disorder Clinical Trials

Physical Activity After a Normal Spontaneous or Cesarean Delivery

Start date: April 1, 2017
Phase: N/A
Study type: Interventional

To the best of the investigators knowledge the average level of physical activity (PA) of parturients recovering from a cesarean delivery or after a normal spontaneous vaginal delivery (NSVD) remains unknown. Taking in consideration that parturients are in a hypercoagulable state and that obstetric venous thromboembolism (VT) is one of the most common causes of maternal morbidity and mortality, ambulation is of utmost importance to anesthesiologists as well as obstetricians. In order to promote mobility, first the investigators need to learn the average parturients level of physical activity in the immediate post-partum period and up to 48 hours after delivery. This information may help us promote mobility in the immediate postpartum period, particularly for those that underwent a cesarean delivery since they are at higher risk of VT.

NCT ID: NCT02969863 Completed - Type1diabetes Clinical Trials

The Monitoring Study

Start date: April 1, 2017
Phase: N/A
Study type: Interventional

To conduct an outpatient study testing two configurations of the bionic pancreas (bi-hormonal and insulin-only) with and without remote monitoring of hypoglycemia in 25 adult (≥ 18 years of age) subjects with type 1 diabetes in a random-order crossover study versus usual care with an insulin pump with and without remote monitoring of hypoglycemia.