Clinical trial NCT02486913: Enhancing Diagnosis and Prevention of Cardiovascular Disease in Newham by Integrated Use of Electronic Health Records
Official title: Enhancing the Diagnosis and Prevention of Cardiovascular Disease in Newham by Integrated Use of Electronic Health Records
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cardiovascular Disease
Keywords: Primary prevention
National Health Service Health Check
Lead sponsor: Queen Mary University of London
Sponsor class: OTHER
First posted: 2015-07-01
Enrollment: 190
Sex: ALL
Minimum age (years): 40
Maximum age (years): 74
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

* Adults aged 40-74 years

Exclusion Criteria:

* Prior diagnosis of heart disease, stroke, diabetes, kidney disease or dementia

Primary outcomes:
measure: Change in Heart Age
timeFrame: 3 months
Secondary outcomes:
measure: Changes in smoking status
timeFrame: 3 months
measure: Change in total cholesterol
timeFrame: 3 months
measure: Change in systolic blood pressure
timeFrame: 3 months
measure: Change in body mass index
timeFrame: 3 months
Other outcomes:
Locations:
city: London
country: United Kingdom
facility: Bart's Heart Centre
Study officials:
affiliation: Queen Mary University of London
name: Adam D Timmis, MD FRCP
role: PRINCIPAL_INVESTIGATOR
References:
citation: Hawking MKD, Timmis A, Wilkins F, Potter JL, Robson J. Improving cardiovascular disease risk communication in NHS Health Checks: a qualitative study. BMJ Open. 2019 Sep 3;9(8):e026058. doi: 10.1136/bmjopen-2018-026058.