Electronic Warning System for Atrial Fibrillation
Electronic Warning System to Improve Stroke Prevention in Atrial Fibrillation - A Quality Improvement Initiative at the University Hospital Bern
1 other identifier
interventional
1,707
1 country
1
Brief Summary
The aim of this randomized controlled study is to evaluate whether a newly designed electronic warning system will increase the initiation rate of adequate stroke preventive measures in patients with atrial fibrillation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable atrial-fibrillation
Started Sep 2014
Shorter than P25 for not_applicable atrial-fibrillation
1 active site
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
September 1, 2014
CompletedFirst Submitted
Initial submission to the registry
May 6, 2015
CompletedFirst Posted
Study publicly available on registry
May 27, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2015
CompletedDecember 22, 2015
December 1, 2015
1.1 years
May 6, 2015
December 21, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Rate of initiation of adequate measures to prevent stroke (oral anticoagulant prescription) by physician in charge
Reviewed from discharge letter
End of hospital stay (expected average duration of 1 week)
Secondary Outcomes (2)
Use of the CHA2DS2VASc score calculation tool by the physician in charge
During hospital stay (expected average duration of 1 week)
Rate of correct evaluation of the CHA2DS2VASC Score through the calculation tool by physician in charge
End of hospital stay (expected average duration of 1 week)
Study Arms (2)
Electronic alert
ACTIVE COMPARATORPhysicians, whose patients with atrial fibrillation do not receive stroke preventive measures, will receive an electronic warning alert.
No electronic alert
NO INTERVENTIONPhysicians, whose patients with atrial fibrillation do not receive stroke preventive measures, will receive no electronic warning alert.
Interventions
A newly-installed warning system for stroke prevention in atrial fibrillation.
Eligibility Criteria
You may qualify if:
- All in-patients with atrial fibrillation
You may not qualify if:
- Ongoing anticoagulant therapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Swiss Cardiovascular Center, Inselspital, University of Bern
Bern, Canton of Bern, 3012, Switzerland
Related Publications (1)
Silbernagel G, Spirk D, Hager A, Baumgartner I, Kucher N. Electronic Alert System for Improving Stroke Prevention Among Hospitalized Oral-Anticoagulation-Naive Patients With Atrial Fibrillation: A Randomized Trial. J Am Heart Assoc. 2016 Jul 22;5(7):e003776. doi: 10.1161/JAHA.116.003776.
PMID: 27451467DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Nils Kucher, Prof. M.D.
Department of Angiology, Swiss Cardiovascular Center, University of Berne
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 6, 2015
First Posted
May 27, 2015
Study Start
September 1, 2014
Primary Completion
October 1, 2015
Study Completion
October 1, 2015
Last Updated
December 22, 2015
Record last verified: 2015-12