Enhancing Diagnosis and Prevention of Cardiovascular Disease in Newham by Integrated Use of Electronic Health Records

Study Overview
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Brief Summary
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The investigators will develop a risk report within the primary care electronic health record (EMIS) for patients attending for their National Health Service Health Check. The value of the report for reducing cardiovascular risk will be assessed qualitatively and also quantitatively in a non-randomised comparative trial.

Detailed Description
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The investigators will design a template within the primary care electronic health record (EMIS) that draws on Health Check data to provide a contemporary risk report. Included in the report will be clear description of life-time cardiovascular risks, the factors driving those risks and how risk might be reduced through life-style and risk factor modification. The investigators will evaluate the benefits of providing patients with a risk report qualitatively by patient and clinician interviews. Quantitative analysis of the benefit of the risk report will be provided by a non-randomised comparative trial. First, a group of patients undergoing a conventional Health Check will be recalled after three months for a second Health Check, allowing measurement of the change in Heart Age - a convenient index of life-time cardiovascular risk. Following introduction of the risk report the investigators will recall a further group of patients for a second Health Check, allowing measurement of the change in Heart Age. The effect of the risk report will be determined by comparing the change in Heart Age between the two groups of patients.

Official Title
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Enhancing the Diagnosis and Prevention of Cardiovascular Disease in Newham by Integrated Use of Electronic Health Records

Conditions
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Cardiovascular Disease

Intervention / Treatment
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* Other: Enhanced Health Check


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults aged 40-74 years Exclusion Criteria: Prior diagnosis of heart disease, stroke, diabetes, kidney disease or dementia

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 74 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Conventional Health Check<br>Patients undergoing conventional National Health Service Health Check | |
| Experimental: Enhanced Health Check<br>Patients undergoing National Health Service Health Check enhanced by risk report | Other: Enhanced Health Check<br>* National Health Service Health Check enhanced by risk report<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Heart Age | Change in Heart Age between 1st Health Check and 2nd Health Check three months later | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in smoking status | Changes in smoking status (number smoked per day) by direct patient enquiry between 1st Health Check and 2nd Health Check three months later. | 3 months | 
| Change in total cholesterol | Changes in total blood cholesterol (mmol/L) by serum sampling between 1st Health Check and 2nd Health Check three months later. | 3 months | 
| Change in systolic blood pressure | Change in systolic blood pressure (mmHg) by direct measurement using an inflatable cuff between 1st Health Check and 2nd Health Check three months later. | 3 months | 
| Change in body mass index | Change in body mass index by measurement of height and weight between 1st Health Check and 2nd Health Check three months later. | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Primary prevention, National Health Service Health Check