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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04827706
Other study ID # MYO-PL
Secondary ID
Status Active, not recruiting
Phase
First received
Last updated
Start date January 1, 2009
Est. completion date December 31, 2021

Study information

Verified date March 2021
Source Medical University of Warsaw
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The epidemiology of myocarditis is largely unknown and based mainly on small single-center studies. The study aim to evaluate the current incidence, clinical characteristics and outcomes of patients hospitalized due to myocarditis in a general population.


Description:

In this retrospective-prospective study, data from the National Health Fund (NHF), which is the only public healthcare insurer in Poland is used. The NHF reimburses drugs and healthcare services provided by healthcare providers (both public and private) with public funds collected from health insurance premiums. In Poland, public health insurance is obligatory for almost all Poles - in December 2019, 88.4% of approx. 38 million Poles had public health insurance and were entitled to obtain healthcare services and drugs reimbursed by the NHF. Based on NHF claims data, the healthcare services reported over the years 2009-2021 with a diagnosis of myocarditis - hospitalizations reported with codes I40, I40.0, I40.1, I40.8, I40.9, I41, I41.0, I41.1, I41.2, I41.8, I51.4, B33.2 are derived according to the International Classification of Diseases and Related Health Problems, 10th Revision (ICD-10). The dataset is narrowed to the first myocarditis hospitalization, i.e. patients for whom no information about the diagnosis of myocarditis is reported in the 400 days preceding the hospitalization. For such a group of patients, and to establish the baseline characteristics of the patients, data is analyzed 400 days back from the initial diagnosis of myocarditis. Also, in-hospital and long-term outcomes are analyzed, including all-cause mortality as well as the occurrence of selected diseases (defined as receiving a service where selected ICD-10 was reported), and selected procedures are obtained, defined with codes according to International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). For the follow-up, at least a six-month period is required. To show differences related to the age of patients hospitalized due to myocarditis, baseline characteristics and long-term outcomes are assessed with regard to age groups. Data from the Central Statistical Office of Poland is also used to refer the obtained results to the population of Poland and to obtain life tables for survival analysis. No specific exclusion criteria were applied. No ethics approval was required for this study, as it involved the analysis of administrative data.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 19978
Est. completion date December 31, 2021
Est. primary completion date December 31, 2021
Accepts healthy volunteers No
Gender All
Age group N/A and older
Eligibility Inclusion Criteria: - first myocarditis hospitalization Exclusion Criteria: - no specific exclusion criteria were applied

Study Design


Locations

Country Name City State
Poland First Department of Cardiology, Medical University of Warsaw Warsaw

Sponsors (1)

Lead Sponsor Collaborator
Medical University of Warsaw

Country where clinical trial is conducted

Poland, 

Outcome

Type Measure Description Time frame Safety issue
Primary Characteristics of myocarditis in Poland Distribution of myocarditis incidence regarding to voivodeship/ district, city size (number of residents), hospital and ward type of admission 10 years
Primary Seasonal occurrence Seasonal occurrence rate of myocarditis regarding to gender and age 10 years
Primary In-hospital mortality Occurrence of all-cause death during initial hospitalization for myocarditis 10 years
Primary Long-term mortality Occurrence of all-cause death at 10-year observation. 10 years
Primary Analysis of in-hospital course of patients with myocarditis. Hospitalization length 10 years
Primary Trends in the utilisation rate of diagnostic procedures. Trends in the application rate of diagnostic procedures aimed at diagnosing myocarditis (i.e. cardiac magnetic resonance, endomyocardial biopsy, troponin, echocardiography, coronary angiography) 10 years
Primary Occurrence of recurrent myocarditis Occurrence of recurrent hospitalization for myocarditis 10 years
Primary Occurrence of heart failure Occurrence of heart failure hospitalization after diagnosis of myocarditis 10 years
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