ESCAP: Supervised Exercise for Patients With Coronary Heart Disease in the Primary Care Setting
Effectiveness of the Supervised Exercise for Patients With Coronary Heart Disease in the Primary Care Setting (ESCAP): a Randomized Clinical Trial
1 other identifier
interventional
97
1 country
2
Brief Summary
In Spain, family physician are currently recommended to prescribe an unsupervised walking program to their coronary heart disease (CHD) patients as a part of their cardiac rehabilitation program. However, there are a few family physicians who provide their CHD patients with supervised exercise (30 minutes of pedaling on an stationary bicycle at 60-85% of the peak heart rate (HR) attained at the maximal or symptom limited treadmill test, 3 times a week) at their primary care health centers, thinking that these patients improve their functional capacity, quality of life, and the control of cardiovascular risk factors, more than walking because they can not achieve the ideal exercise intensity for maximal benefits by walking. This study has been designed to investigate if CHD patients get more health benefits with the supervised exercise program at the health center than with the unsupervised walking program.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Jan 2005
Longer than P75 for phase_3
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 6, 2005
CompletedFirst Posted
Study publicly available on registry
September 7, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2010
CompletedJune 1, 2011
May 1, 2011
5.4 years
September 6, 2005
May 31, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Functional capacity (exercise treadmill test)
6 months follow-up
Secondary Outcomes (2)
Health Related Quality of life (SF-36)
6 months follow-up
Cardiovascular risk factor control
6 months follow-up
Study Arms (2)
Control
ACTIVE COMPARATORSecondary prevention program for coronary heart disease
Supervised exercise
EXPERIMENTALInterventions
Supervised exercise on a stationary bicycle, 3-5 days a week, plus a secondary prevention program for coronary heart disease
Secondary prevention program for coronary heart disease
Eligibility Criteria
You may qualify if:
- Coronary heart disease low risk patients
- Under 80 years old
You may not qualify if:
- years of age and over
- Patients included in cardiac rehabilitation programs
- Moderate and high risk patients
- Patients with handicaps for exercising
- Patients unable to attend the supervised exercise sessions
- Unstable angina
- Uncontrolled atrial ventricular arrhythmias
- Third degree AV block (without pacemaker)
- Uncompensated congestive heart failure
- Severe aortic stenosis
- Suspected or known dissecting aneurysm
- Active myocarditis or pericarditis
- Thrombophlebitis
- Recent embolism
- Acute systemic illness or fever
- +7 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Basque Health Servicelead
- Preventive Services and Health Promotion Research Networkcollaborator
- Castilla-La Mancha Health Servicecollaborator
- Castilla-León Health Servicecollaborator
- Dalt Sant Joan primary care center (Balears Islans Health Service)collaborator
- Public Health Service of Cataluñacollaborator
- Public Health Service of Madridcollaborator
- Public Health Service of Galiciacollaborator
- Cantabria Health Servicecollaborator
Study Sites (2)
Primary Care Research Unit of Bizkaia (Basque Health Service)
Bilbao, Bizkaia, 48014, Spain
Santa Barbara primary care center (Castilla La Mancha Health Service)
Toledo, Toledo, 45007, Spain
Related Publications (2)
Ortega Sanchez-Pinilla R. [Differences in intensity of effort between supervised and non-supervised exercise of patients with ischaemic cardiopathy]. Aten Primaria. 2004 Sep 30;34(5):265-6. doi: 10.1016/s0212-6567(04)70847-1. No abstract available. Spanish.
PMID: 15456577BACKGROUNDOrtega R, Garcia-Ortiz L, Torcal J, Echevarria P, Vargas-Machuca C, Gomez A, Salcedo F, Lekuona I, Montoya I, Grandes G; ESCAP Group. Supervised exercise for acute coronary patients in primary care: a randomized clinical trial. Fam Pract. 2014 Feb;31(1):20-9. doi: 10.1093/fampra/cmt059. Epub 2013 Oct 19.
PMID: 24142481DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ricardo Ortega, Dr.
Santa Barbara primary care center (Castilla La Mancha Health Service)
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
Study Record Dates
First Submitted
September 6, 2005
First Posted
September 7, 2005
Study Start
January 1, 2005
Primary Completion
June 1, 2010
Study Completion
June 1, 2010
Last Updated
June 1, 2011
Record last verified: 2011-05