Randomised controlled trial to assess the efficacy of a comprehensive secondary prevention programme in primary care

ISRCTN ISRCTN18578323
DOI https://doi.org/10.1186/ISRCTN18578323
Secondary identifying numbers N/A
Submission date
08/03/2005
Registration date
04/04/2005
Last edited
14/04/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Carlos Brotons
Scientific

Unit of Research
Sardenya Primary Health Care Center
Sardenya 466
Barcelona
08025
Spain

Phone +34 935 67 43 80
Email cbrotons@eapsardenya.net

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typePrevention
Scientific title
Study acronymPREseAP
Study objectivesA comprehensive programme on secondary prevention of cardiovascular diseases in primary care reduces rehospitalisation and mortality, and improves quality of life.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedCardiovascular disease
InterventionHealth Centres (clusters) are randomised to intervention or control group.

Intervention group (comprehensive programme in secondary prevention led by well-trained registered nurses):
Patient education and counselling, optimisation of the treatments according to CVD prevention guidelines (drugs, diet, exercise). The number of scheduled visits will be 9 (every 4 months).

Control group:
Patients in the control group will be assigned to conventional care. Number of visits: two (baseline assessmenta and final visit at the end of the trial).

Follow-up period: 3 years
Endpoints: combined of cardiovascular disease mortality and cardiovascular disease morbidity (including revascularisation)
Intervention typeOther
Primary outcome measure1. Combination of total mortality
2. Cardiovascular fatal events
3. Cardiovascular non-fatal events
Secondary outcome measures1. Total mortality
2. Cardiovascular fatal events
3. Cardiovascular non-fatal events
4. Quality of life measured with the 36-item short form health survey (SF-36) instrument
Overall study start date01/01/2005
Completion date31/12/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants2100
Key inclusion criteriaPatients are recruited from 42 primary health care centres from eight different regions of Spain (2100 patients are expected to be recruited).

Inclusion Criteria:
Males and females below 86 years, diagnosed with coronary heart disease (CHD), stroke or peripheral vascular disease in the last year.
Key exclusion criteria1. Patients diagnosed with cardiovascular disease (CVD) before the year 2004
2. Unstable patients (post myocardial infarction [MI] angina of less than 28 days after discharge, ventricular arrhythmias in the last six months)
3. Subarachnoid haemorrhage, cerebral embolisms secondary to valve disease
4. Patients with concomitant serious chronic disease (cancer, chronic renal failure, etc.)
5. Patients with poor mental function or any other reason to expect that the patient may have difficulty in complying with the requirements of the study
Date of first enrolment01/01/2005
Date of final enrolment31/12/2007

Locations

Countries of recruitment

  • Spain

Study participating centre

Unit of Research
Barcelona
08025
Spain

Sponsor information

Sardenya Primary Care Center (in collaboration with the Catalan Foundation Institute of Pharmacology) (Spain)
Hospital/treatment centre

Sardenya 466
Barcelona
08025
Spain

Phone +34 935 67 43 80
Email cbrotons@eapsardenya.net

Funders

Funder type

Hospital/treatment centre

Carlos III Health Institute of the Spanish Ministry of Health and Consumption (Fondo de Investigaciones Sanitarias - Instituto de Salud Carlos III-Ministerio de Sanidad y Consumo) (Spain) (ref: PI031421)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article Results 01/03/2008 Yes No