Text messages to promote secondary prevention after acute coronary syndrome (impacs trial)
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | http://hdl.handle.net/1843/62521 |
Resumo: | Background: Short message service (SMS) to promote healthcare improves the control of cardiovascular risk factors, but there is a lack of evidence in low and middle-income countries, particularly after acute coronary syndromes (ACS). Objective: This study aims to evaluate whether the use of SMS increases risk factor control after hospital discharge for ACS. Methods: IMPACS is a 2-arm randomized trial with 180 patients hospitalized due to ACS at a tertiary hospital in Brazil. Eligible patients were randomized (1:1) to an SMS intervention (G1) or standard care (G2) upon hospital discharge. The primary endpoint was set to achieve 4 or 5 points in a risk factor control score, consisting of a cluster of 5 modifiable risk factors: LDL-C <70mg/dL, blood pressure (BP) <140/90mmHg, regular exercise (≥5 days/week, 30 minutes/session), nonsmoker status, and body mass index (BMI) <25 kg/m2] at 6 months. Secondary outcomes were components of the primary outcome plus rehospitalization, cardiovascular death, and death from any cause. Results are designated as significant if p<0.05.Results: From randomized patients, 147 were included in the final analysis. Mean age was 58 (51–64) years, 74% males. The primary outcome was achieved by 12 (16.2%) patients in G1 and 15 (20.8%) in G2 (OR=0.73, 95%CI 0.32–1.70, p=0.47). Secondary outcomes were also similar: LDL-C<70 mg/dl (p=0.33), BP<140/90 mmHg (p=0.32), non-smoker(p=0.74), regular exercise (p=0.97), BMI (p=0.71), and rehospitalization (p=0.06). Death from any cause occurred in three participants (2%), including one cardiovascular death in each group.Conclusion: SMS intervention did not significantly improve cardiovascular risk factor control when compared to standard care in patients discharged after ACS in Brazil. |
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Text messages to promote secondary prevention after acute coronary syndrome (impacs trial)Acute Coronary SyndromeText MessagesRisk FactorsTelemedicine.Acute Coronary SyndromeText MessagingRisk FactorsTelemedicine.Background: Short message service (SMS) to promote healthcare improves the control of cardiovascular risk factors, but there is a lack of evidence in low and middle-income countries, particularly after acute coronary syndromes (ACS). Objective: This study aims to evaluate whether the use of SMS increases risk factor control after hospital discharge for ACS. Methods: IMPACS is a 2-arm randomized trial with 180 patients hospitalized due to ACS at a tertiary hospital in Brazil. Eligible patients were randomized (1:1) to an SMS intervention (G1) or standard care (G2) upon hospital discharge. The primary endpoint was set to achieve 4 or 5 points in a risk factor control score, consisting of a cluster of 5 modifiable risk factors: LDL-C <70mg/dL, blood pressure (BP) <140/90mmHg, regular exercise (≥5 days/week, 30 minutes/session), nonsmoker status, and body mass index (BMI) <25 kg/m2] at 6 months. Secondary outcomes were components of the primary outcome plus rehospitalization, cardiovascular death, and death from any cause. Results are designated as significant if p<0.05.Results: From randomized patients, 147 were included in the final analysis. Mean age was 58 (51–64) years, 74% males. The primary outcome was achieved by 12 (16.2%) patients in G1 and 15 (20.8%) in G2 (OR=0.73, 95%CI 0.32–1.70, p=0.47). Secondary outcomes were also similar: LDL-C<70 mg/dl (p=0.33), BP<140/90 mmHg (p=0.32), non-smoker(p=0.74), regular exercise (p=0.97), BMI (p=0.71), and rehospitalization (p=0.06). Death from any cause occurred in three participants (2%), including one cardiovascular death in each group.Conclusion: SMS intervention did not significantly improve cardiovascular risk factor control when compared to standard care in patients discharged after ACS in Brazil.Universidade Federal de Minas GeraisBrasilMED - DEPARTAMENTO DE CLÍNICA MÉDICAUFMG2024-01-09T19:31:08Z2024-01-09T19:31:08Z2021info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlepdfapplication/pdf10.36660/ijcs.2020037823594802http://hdl.handle.net/1843/62521engInternational Journal of Cardiovascular SciencesLuiz GuilhermepassagliaLuisa Campos Caldeira BrantJosé Luiz Padilha da SilvaBruno Ramos NascimentoAntonio Luiz Pinho Ribeiroinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMG2024-01-09T20:37:53Zoai:repositorio.ufmg.br:1843/62521Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oairepositorio@ufmg.bropendoar:2024-01-09T20:37:53Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.none.fl_str_mv |
Text messages to promote secondary prevention after acute coronary syndrome (impacs trial) |
title |
Text messages to promote secondary prevention after acute coronary syndrome (impacs trial) |
spellingShingle |
Text messages to promote secondary prevention after acute coronary syndrome (impacs trial) Luiz Guilhermepassaglia Acute Coronary Syndrome Text Messages Risk Factors Telemedicine. Acute Coronary Syndrome Text Messaging Risk Factors Telemedicine. |
title_short |
Text messages to promote secondary prevention after acute coronary syndrome (impacs trial) |
title_full |
Text messages to promote secondary prevention after acute coronary syndrome (impacs trial) |
title_fullStr |
Text messages to promote secondary prevention after acute coronary syndrome (impacs trial) |
title_full_unstemmed |
Text messages to promote secondary prevention after acute coronary syndrome (impacs trial) |
title_sort |
Text messages to promote secondary prevention after acute coronary syndrome (impacs trial) |
author |
Luiz Guilhermepassaglia |
author_facet |
Luiz Guilhermepassaglia Luisa Campos Caldeira Brant José Luiz Padilha da Silva Bruno Ramos Nascimento Antonio Luiz Pinho Ribeiro |
author_role |
author |
author2 |
Luisa Campos Caldeira Brant José Luiz Padilha da Silva Bruno Ramos Nascimento Antonio Luiz Pinho Ribeiro |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Luiz Guilhermepassaglia Luisa Campos Caldeira Brant José Luiz Padilha da Silva Bruno Ramos Nascimento Antonio Luiz Pinho Ribeiro |
dc.subject.por.fl_str_mv |
Acute Coronary Syndrome Text Messages Risk Factors Telemedicine. Acute Coronary Syndrome Text Messaging Risk Factors Telemedicine. |
topic |
Acute Coronary Syndrome Text Messages Risk Factors Telemedicine. Acute Coronary Syndrome Text Messaging Risk Factors Telemedicine. |
description |
Background: Short message service (SMS) to promote healthcare improves the control of cardiovascular risk factors, but there is a lack of evidence in low and middle-income countries, particularly after acute coronary syndromes (ACS). Objective: This study aims to evaluate whether the use of SMS increases risk factor control after hospital discharge for ACS. Methods: IMPACS is a 2-arm randomized trial with 180 patients hospitalized due to ACS at a tertiary hospital in Brazil. Eligible patients were randomized (1:1) to an SMS intervention (G1) or standard care (G2) upon hospital discharge. The primary endpoint was set to achieve 4 or 5 points in a risk factor control score, consisting of a cluster of 5 modifiable risk factors: LDL-C <70mg/dL, blood pressure (BP) <140/90mmHg, regular exercise (≥5 days/week, 30 minutes/session), nonsmoker status, and body mass index (BMI) <25 kg/m2] at 6 months. Secondary outcomes were components of the primary outcome plus rehospitalization, cardiovascular death, and death from any cause. Results are designated as significant if p<0.05.Results: From randomized patients, 147 were included in the final analysis. Mean age was 58 (51–64) years, 74% males. The primary outcome was achieved by 12 (16.2%) patients in G1 and 15 (20.8%) in G2 (OR=0.73, 95%CI 0.32–1.70, p=0.47). Secondary outcomes were also similar: LDL-C<70 mg/dl (p=0.33), BP<140/90 mmHg (p=0.32), non-smoker(p=0.74), regular exercise (p=0.97), BMI (p=0.71), and rehospitalization (p=0.06). Death from any cause occurred in three participants (2%), including one cardiovascular death in each group.Conclusion: SMS intervention did not significantly improve cardiovascular risk factor control when compared to standard care in patients discharged after ACS in Brazil. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021 2024-01-09T19:31:08Z 2024-01-09T19:31:08Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
10.36660/ijcs.20200378 23594802 http://hdl.handle.net/1843/62521 |
identifier_str_mv |
10.36660/ijcs.20200378 23594802 |
url |
http://hdl.handle.net/1843/62521 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
International Journal of Cardiovascular Sciences |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais Brasil MED - DEPARTAMENTO DE CLÍNICA MÉDICA UFMG |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais Brasil MED - DEPARTAMENTO DE CLÍNICA MÉDICA UFMG |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
instname_str |
Universidade Federal de Minas Gerais (UFMG) |
instacron_str |
UFMG |
institution |
UFMG |
reponame_str |
Repositório Institucional da UFMG |
collection |
Repositório Institucional da UFMG |
repository.name.fl_str_mv |
Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG) |
repository.mail.fl_str_mv |
repositorio@ufmg.br |
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1816829656745115648 |