Rethinking rehabilitation after percutaneous coronary intervention: a protocol of a multicentre cohort study on continuity of care, health literacy, adherence and costs at all care levels (the CONCARDPCI)

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DOI

  • Tone M Norekvål, Haukeland University Hospital, University of Bergen, Western Norway University of Applied Sciences
  • ,
  • Heather G Allore, Yale School of Medicine, Yale University School of Public Health
  • ,
  • Bjørn Bendz, Oslo University Hospital, University of Oslo
  • ,
  • Cathrine Bjorvatn, University of Bergen, Haukeland University Hospital
  • ,
  • Britt Borregaard, Odense University Hospital
  • ,
  • Gunhild Brørs, St. Olavs University Hospital of Trondheim
  • ,
  • Christi Deaton, University of Cambridge
  • ,
  • Nina Fålun, Haukeland University Hospital, Western Norway University of Applied Sciences
  • ,
  • Heather Hadjistavropoulos, University of Regina
  • ,
  • Tina Birgitte Hansen, Zealand University Hospital, Southern University of Denmark
  • ,
  • Stig Igland, Medical Clinic, Førde Hospital Trust, Førde, Norway.
  • ,
  • Alf Inge Larsen, University of Bergen, Stavanger University Hospital
  • ,
  • Pernille Palm, Copenhagen University Hospital
  • ,
  • Trond Røed Pettersen, Haukeland University Hospital, University of Bergen
  • ,
  • Trine Bernholdt Rasmussen, Gentofte University Hospital, Hellerup, Denmark.
  • ,
  • Jan Schjøtt, University of Bergen, Haukeland University Hospital
  • ,
  • Irene Valaker, Western Norway University of Applied Sciences
  • ,
  • Ann Dorthe Zwisler, Odense University Hospital
  • ,
  • Svein Rotevatn, Haukeland University Hospital
  • ,
  • CONCARD Investigators

INTRODUCTION: Percutaneous coronary intervention (PCI) aims to provide instant relief of symptoms, and improve functional capacity and prognosis in patients with coronary artery disease. Although patients may experience a quick recovery, continuity of care from hospital to home can be challenging. Within a short time span, patients must adjust their lifestyle, incorporate medications and acquire new support. Thus, CONCARDPCI will identify bottlenecks in the patient journey from a patient perspective to lay the groundwork for integrated, coherent pathways with innovative modes of healthcare delivery. The main objective of the CONCARDPCI is to investigate (1) continuity of care, (2) health literacy and self-management, (3) adherence to treatment, and (4) healthcare utilisation and costs, and to determine associations with future short and long-term health outcomes in patients after PCI.

METHODS AND ANALYSIS: This prospective multicentre cohort study organised in four thematic projects plans to include 3000 patients. All patients undergoing PCI at seven large PCI centres based in two Nordic countries are prospectively screened for eligibility and included in a cohort with a 1-year follow-up period including data collection of patient-reported outcomes (PRO) and a further 10-year follow-up for adverse events. In addition to PROs, data are collected from patient medical records and national compulsory registries.

ETHICS AND DISSEMINATION: Approval has been granted by the Norwegian Regional Committee for Ethics in Medical Research in Western Norway (REK 2015/57), and the Data Protection Agency in the Zealand region (REG-145-2017). Findings will be disseminated widely through peer-reviewed publications and to patients through patient organisations.

TRIAL REGISTRATION NUMBER: NCT03810612.

OriginalsprogEngelsk
Artikelnummere031995
TidsskriftBMJ Open
Vol/bind10
Nummer2
Antal sider10
ISSN2044-6055
DOI
StatusUdgivet - feb. 2020

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