Coronary Heart Disease Clinical Trial
Official title:
The China PEACE (Patient-centered Evaluative Assessment of Cardiac Events) Prospective Study of Acute Myocardial Infarction
Coronary heart disease (CHD) and heart attacks pose a serious health risk to men and women, however little information is available about how evidence-based therapies are incorporated appropriately into routine clinical practice in China. In addition, basic data and evidence about safety and efficacy of treatment for AMI is limited. By consecutively recruiting AMI patients in 40 hospitals of different levels, this study will examine various real-life factors, that may affect patients recovery after a heart attack. Practical guidelines and risk model for AMI patients will be established based on the findings, to improve patients outcomes in future finally.
Cardiovascular disease (CVD) is a major concern in public health globally, as well as in
China, and AMI is one of the leading causes of mortality and morbidity. Remarkable
variations of resources available and health system performance have been noted, however
little information is available about how evidence-based therapies are incorporated
appropriately into routine clinical practice in China. In addition, basic data and evidence
about safety, efficacy, and effectiveness of treatment for AMI during long-term recovery is
limited. Practical and applied knowledge from large unselected population is needed to guide
practice and policy for quality improvement and cost reduction.
This study will enroll patients with a confirmed diagnosis of AMI consecutively in 20
tertiary hospitals and 20 secondary hospitals scattered all over China. At study entry,
participants will be interviewed during their index hospitalization, to collect information
about symptoms, functioning, quality of life, and medical care. Demographic characteristics,
medical history, clinical features, diagnostic tests, medications, procedures, and
in-hospital outcomes of patients will be abstracted from medical records by well trained
professional abstractors. At 1 month, 6 month, and 12 month after discharge, participants
will return to the clinic for follow up visits, a face-to-face interview will be conducted
to get information about clinical events, symptoms, functioning, quality of life, and
medical care during the recovery period. At 1-Month and 12-Month follow-up visit, blood and
urine sample will be collected. Participants' blood samples will be stored for future
biologic and genetic studies. This study will examine various real-life factors that may
affect patients recovery after a heart attack, including patients' characteristics and
treatment measures. Practical guidelines, quality evaluative system, and risk model for AMI
patients will be established based on the findings, to improve patients outcomes in future
finally.
;
Observational Model: Cohort, Time Perspective: Prospective
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