A Smartphone APPlication for the Transmission of ECGs in the Management of Patients Presenting With Suspected Heart Attacks in the Hamilton, Niagara, Haldimand, and Brant Area
Enhancing Strategic Management of Acute Reperfusion and Therapies in Acute Myocardial Infarction Using a Novel Smartphone APPlication (SMART-AMI APP)
1 other identifier
observational
260
1 country
17
Brief Summary
The delivery of timely and appropriate care is crucial for patients with heart attacks. Blocked arteries need immediate intervention to restore blood flow. However, the intervention to open the artery is only available in large, regional hospitals. There are only 18 such hospitals across Ontario. Patients with heart attacks in smaller hospitals, where the majority of patients present, require transfer for specialized services. The smartphone application being evaluated in this study is meant to help with communication between doctors to arrange transfer of such patients. The current model for communication is based on fax machines or non-secure text messages. Additionally, these are not easily accessible for most physicians, so decisions to transfer patients may be based on incomplete information. Unnecessary transfer, treatments, and procedures expose patients and healthcare providers to undue risk. Smartphone technology is well integrated into clinical practice and widely accessible. The proposed solution being tested is secure and leverages the accessibility of smartphones. Emergency physicians can use this to quickly, securely, and accurately transmit information ensuring faster and appropriate decision making for transfers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2022
17 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
First Submitted
Initial submission to the registry
February 22, 2022
CompletedFirst Posted
Study publicly available on registry
March 22, 2022
CompletedStudy Start
First participant enrolled
April 4, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 30, 2023
CompletedNovember 30, 2023
November 1, 2023
12 months
February 22, 2022
November 29, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Usability
The first primary outcome is usability of the App for Emergency Medicine physicians. This will be measured using electronic surveys and focus groups to identify barriers and facilitators faced when using the App.
12 months
Acceptability
The second primary outcome is acceptability of the App for Emergency Medicine physicians. This will be measured using the mHealth App Usability Questionnaire.
12 months
Functionality
The third primary outcome will measure functionality of the App for Emergency Medicine physicians. Through electronic surveys, barriers and facilitators faced when using the App will be assessed.
12 months
Secondary Outcomes (4)
Implementation
12 months
Timing of Care Intervals
12 months
False Positive Activation Rates
12 months
STEMI Activations via App
12 months
Study Arms (1)
Physicians
All Emergency Medicine physicians and Interventional Cardiologists involved in STEMI care in the Hamilton Niagara Haldimand Brant Local Health area will be eligible for participation in this study.
Interventions
SMART AMI allows real-time sharing and review of patient history and ECG between Emergency Department physicians and Interventional Cardiologists to allow for immediate decision-making regarding the need for percutaneous coronary intervention. Participant physicians will use a smartphone application to communicate, transmit the ECG, and activate the STEMI team. This application enables calling and transmission of up to three images of ECGs, which can be reviewed immediately by the Interventional Cardiologist when communicating with the referring physician.
Eligibility Criteria
Physicians: Emergency Medicine physicians working at the partner emergency departments and urgent care centres that refer STEMI patients to the cardiac catheterization lab at Hamilton General Hospital.
You may qualify if:
- Emergency Medicine physicians at hospitals and urgent care centres located in the Hamilton, Niagara and Brant Local Health area:
- Brantford General Hospital
- Fort Erie Urgent Care Center
- Greater Niagara General Hospital
- Haldimand War Memorial Hospital
- Hamilton General Hospital
- Joseph Brant Hospital
- Juravinski Hospital
- Main Street West UCC
- Norfolk General Hospital
- Port Colborne Urgent Care Center
- St. Catharines General Hospital
- St. Joseph's Hospital
- St. Joseph's Urgent Care Center
- Welland County General Hospital
- +3 more criteria
You may not qualify if:
- N/A
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- McMaster Universitylead
- Hamilton Health Sciences Corporationcollaborator
- Centre for Evidence-Based Implementationcollaborator
Study Sites (17)
Brantford General Hospital
Brantford, Ontario, N3R 1G9, Canada
Joseph Brant Hospital
Burlington, Ontario, L7S 0A2, Canada
Haldimand War Memorial Hospital
Dunnville, Ontario, N1A 2P7, Canada
Fort Erie Urgent Care Center
Fort Erie, Ontario, L2A 1Z2, Canada
West Lincoln Memorial Hospital
Grimsby, Ontario, L3M 1P3, Canada
West Haldimand General Hospital
Hagersville, Ontario, N0A 1H0, Canada
St. Joseph's Urgent Care Center
Hamilton, Ontario, L8G 5E4, Canada
Hamilton General Hospital
Hamilton, Ontario, L8L 2X2, Canada
St. Joseph's Hospital
Hamilton, Ontario, L8N 4A6, Canada
Main Street West UCC
Hamilton, Ontario, L8S 1A4, Canada
Juravinski Hospital
Hamilton, Ontario, L8V 1C3, Canada
Greater Niagara General Hospital
Niagara Falls, Ontario, L2E 6X2, Canada
Willett Urgent Care Centre
Paris, Ontario, N3L 2M7, Canada
Port Colborne Urgent Care Center
Port Colborne, Ontario, L3K 2N7, Canada
Norfolk General Hospital
Simcoe, Ontario, N3Y 1T7, Canada
St. Catharines General Hospital
St. Catharines, Ontario, L2S 0A9, Canada
Welland County General Hospital
Welland, Ontario, L3B 4W6, Canada
Related Publications (1)
Mir H, Cullen KJ, Mosleh K, Setrak R, Jolly S, Tsang M, Rutledge G, Ibrahim Q, Welsford M, Mercuri M, Schwalm JD, Natarajan MK. Smartphone App for Prehospital ECG Transmission in ST-Elevation Myocardial Infarction Activation: Protocol for a Mixed Methods Study. JMIR Res Protoc. 2024 Sep 6;13:e55506. doi: 10.2196/55506.
PMID: 39240681DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Madhu K Natarajan, MD
Hamilton Health Sciences Corporation
- PRINCIPAL INVESTIGATOR
Mathew Mercuri, PhD
Hamilton Health Sciences Corporation
- PRINCIPAL INVESTIGATOR
Hassan K Mir, MD
Ottawa Heart Institute Research Corporation
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Target Duration
- 12 Months
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 22, 2022
First Posted
March 22, 2022
Study Start
April 4, 2022
Primary Completion
March 31, 2023
Study Completion
November 30, 2023
Last Updated
November 30, 2023
Record last verified: 2023-11
Data Sharing
- IPD Sharing
- Will not share