Effectiveness of Teleconsultation in Referring a Patient With Early Myocardial Infarction From Peripheral Hospital to Cardiac Centre in Hail, Saudi Arabia
Telehealth
Effectiveness of a New Pathway of Referring a Patient With Early Myocardial Infarction From Peripheral Hospital to Cardiac Centre in Hail, Saudi Arabia: A Randomized Clustered Trial
1 other identifier
interventional
440
0 countries
N/A
Brief Summary
The goal of this pragmatic trial is to test the benefit of using a teleconsultation for referring a patient with a heart attack at an early stage from the suburban hospital to the heart centre. A teleconsultation with an expert cardiologist will be conducted by the physician at a suburban hospital. The main questions it aims to answer are: To what extent does the use of a teleconsultation for a patient with a heart attack work well in lowering the proportion of deaths among patients with heart attacks who will be referred from suburban hospitals to the heart centre? To what extent does the use of a teleconsultation for a patient with a heart attack work well in raising the proportion of stable cases with heart attacks who will be referred from suburban hospitals to the heart centre? Participants will be asked to participate in a teleconsultation referral pathway from the suburban hospital to the heart centre. Researchers will compare the change in the proportion of death rate and survivors or stable cases in the intervention versus the control group during referral from suburban hospital to heart centre. Making use of telehealth and smart applications will positively improve the quality of the provided health service at suburban hospitals where there is a limited number of specialized doctors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2023
Shorter than P25 for not_applicable
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
December 7, 2022
CompletedFirst Posted
Study publicly available on registry
December 16, 2022
CompletedStudy Start
First participant enrolled
January 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2023
CompletedDecember 28, 2022
December 1, 2022
5 months
December 7, 2022
December 27, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
The proportion of death among patients with myocardial infarction who will be referred from the peripheral hospital to the cardiac centre
The proportion of death among patients with myocardial infarction who will be referred from the peripheral hospital to the cardiac centre in the intervention versus the control group (routine care).
6 month from the start of the study
The proportion of stable cases of myocardial infarction who will be referred from the peripheral hospital to the cardiac centre
The proportion of stable cases of myocardial infarction who will be referred from the peripheral hospital to the cardiac centre in the intervention versus the control group (routine care).
6 month from the start of the study
Secondary Outcomes (2)
The proportion of stable cases of myocardial infarction who received Tissue Plasminogen Activator (TBA) before referral
6 months after the start of the study
The proportion of stable cases of myocardial infarction who developed co-morbidities
6 months after the start of the study
Study Arms (2)
Application of teleconsultation using WhatsApp to refer patient with with myocardial infarction
EXPERIMENTALApplication of teleconsultation using WhatsApp for a patient with myocardial infarction with a provisional diagnosis of myocardial infarction during referral from a district hospital to a cardiac centre.
Routine care and handling of a patient with mycardial infarction at peripheral hospital
NO INTERVENTIONRoutine care and consultation received by a patient with a provisional diagnosis of myocardial infarction during referral from the district hospital to the cardiac centre
Interventions
Using teleconsultation for a patient with a provisional diagnosis of myocardial infarction during referral from the district hospital to the cardiac centre
Eligibility Criteria
You may qualify if:
- patient aged 18 to 80 with provisional diagnose of MI
You may not qualify if:
- severely ill patient and patient with other chronic conditions or cancer
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Officials
- STUDY CHAIR
Khalil Alshammari, VIP Chief MO
Hail Health Cluster
- PRINCIPAL INVESTIGATOR
Fakhralddin Elfakki, Researcher at MOC
New Model of Care, Hail Health Cluser
- STUDY DIRECTOR
Meshari Aljamani, MOC Lead
New Model of Care, Hail Health Cluster
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 7, 2022
First Posted
December 16, 2022
Study Start
January 1, 2023
Primary Completion
June 1, 2023
Study Completion
July 1, 2023
Last Updated
December 28, 2022
Record last verified: 2022-12
Data Sharing
- IPD Sharing
- Will not share