Heart Failure Recorded in Primary Care, Hospital Admissions and National Mortality Registry
Capture and Concordance of Heart Failure Recorded in Primary Care, Hospital Admissions and National Mortality Registry: A Cohort Study In 2.1 Million People
1 other identifier
observational
100,000
1 country
1
Brief Summary
The main objectives of this study are i) to assess how heart failure was captured accross different linked electronic health record sources within the CALIBER program and the overlap between primary care, hospital admissions and/or the national mortality register, and ii) to assess risk factors, heart failure treatment and survival in patients, stratified by EHR source.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 2015
Shorter than P25 for all trials
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
July 1, 2015
CompletedFirst Submitted
Initial submission to the registry
August 11, 2015
CompletedFirst Posted
Study publicly available on registry
September 16, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedSeptember 16, 2015
July 1, 2015
5 months
August 11, 2015
September 14, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Venn diagram of heart failure recording by data source
Frequency and overlap of heart failure patients recorded in primary care, hospital admissions and as cause of death in the national mortality registry.
13 years
Secondary Outcomes (3)
Heart failure mortality
5 years
Cardiovascular mortality
5 years
All-cause mortality
5 years
Study Arms (3)
Primary care only
Patients with heart failure recorded in primary care and never hospitalized for heart failure
Primary care and secondary care
Patients with heart failure recorded in primary care with at least one record of a heart failure related hospitalization.
Secondary care only
Patients with heart failure recorded in at least one heart failure related hospitalization without a concurrent primary care record.
Eligibility Criteria
From 1 January 1997, all patients aged ≥18 years old, registered in CPRD practices in England consenting to data linkage, with at least one year of up-to-standard pre-study follow-up are potentially eligible.
You may qualify if:
- Patients with a coded diagnosis for heart failure in primary care or hospital admission
- Patients with a coded diagnosis for heart failure as a cause of death in the national mortality register
- Patients in CPRD practices which are deemed "up to standard" for more than 1 year by CPRD criteria.
- Patients with at least one year of follow-up in the CPRD practice CPRD.
You may not qualify if:
- past medical history of heart failure
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University College, Londonlead
- UMC Utrechtcollaborator
Study Sites (1)
Farr Institute, University College London
London, NW1 2DA, United Kingdom
Related Publications (2)
Denaxas SC, George J, Herrett E, Shah AD, Kalra D, Hingorani AD, Kivimaki M, Timmis AD, Smeeth L, Hemingway H. Data resource profile: cardiovascular disease research using linked bespoke studies and electronic health records (CALIBER). Int J Epidemiol. 2012 Dec;41(6):1625-38. doi: 10.1093/ije/dys188. Epub 2012 Dec 5.
PMID: 23220717BACKGROUNDKoudstaal S, Pujades-Rodriguez M, Denaxas S, Gho JMIH, Shah AD, Yu N, Patel RS, Gale CP, Hoes AW, Cleland JG, Asselbergs FW, Hemingway H. Prognostic burden of heart failure recorded in primary care, acute hospital admissions, or both: a population-based linked electronic health record cohort study in 2.1 million people. Eur J Heart Fail. 2017 Sep;19(9):1119-1127. doi: 10.1002/ejhf.709. Epub 2016 Dec 23.
PMID: 28008698DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Stefan Koudstaal, MD PhD
University College, London
- STUDY DIRECTOR
Folkert W. Asselbergs, MD PhD
University College, London
- PRINCIPAL INVESTIGATOR
Harry Hemingway, PhD
University College, London
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 11, 2015
First Posted
September 16, 2015
Study Start
July 1, 2015
Primary Completion
December 1, 2015
Study Completion
December 1, 2015
Last Updated
September 16, 2015
Record last verified: 2015-07