Text messages to promote secondary prevention after acute coronary syndrome (impacs trial)

Detalhes bibliográficos
Autor(a) principal: Luiz Guilhermepassaglia
Data de Publicação: 2021
Outros Autores: Luisa Campos Caldeira Brant, José Luiz Padilha da Silva, Bruno Ramos Nascimento, Antonio Luiz Pinho Ribeiro
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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spelling 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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