The effect of a nurse-led telephone-based care coordination program on the follow-up and control of cardiovascular risk factors in patients with coronary artery disease.
| dc.contributor.author | Wong, Ningyan | |
| dc.contributor.author | Chua, Siang Jin Terrance | |
| dc.contributor.author | Gao, Fei | |
| dc.contributor.author | Sim, Sok Tiang Rosalind | |
| dc.contributor.author | Matchar, David | |
| dc.contributor.author | Wong, Sung Lung Aaron | |
| dc.contributor.author | Yeo, Khung Keong | |
| dc.contributor.author | Tan, Wei Chieh Jack | |
| dc.contributor.author | Chin, Chee Tang | |
| dc.date.accessioned | 2021-05-05T07:49:29Z | |
| dc.date.available | 2021-05-05T07:49:29Z | |
| dc.date.issued | 2016-12 | |
| dc.date.updated | 2021-05-05T07:49:29Z | |
| dc.description.abstract | ObjectiveWe sought to analyse the impact of a care coordination protocol on transiting patients with coronary artery disease who had undergone percutaneous coronary intervention (PCI) to primary care and its effect on cardiovascular risk factor control.DesignA prospective observational study involving 492 patients who had undergone PCI either electively or after an acute coronary syndrome.SettingA tertiary institution in Singapore.ParticipantsPatients who had undergone a PCI either electively or after an acute coronary syndrome.InterventionsThe SCORE (Standardized Care for Optimal Outcomes, Right-Siting and Rapid Re-evaluation) program was a nurse-led, telephone-based, care coordination protocol.Main outcome measuresTransition to primary care within 1 year of enrolment, the achievement of low-density lipoprotein (LDL) level of <2.6 mmol/l within 1 year and hospital admissions related to cardiovascular causes within 1 year were studied.ResultsUnder the SCORE protocol, a significantly higher number of patients transited to primary care and achieved the LDL target within 1 year, as compared with non-SCORE patients. Discharge to primary care and achievement of target LDL continued to be higher among those under the SCORE protocol even after multivariate analysis. Rates of hospital admission due to cardiovascular causes were not significantly different.ConclusionsCare coordination improved the rate of transition of post-PCI patients to primary care and improved LDL control, with no difference in the rate of hospital admissions due to cardiovascular causes. These findings support the implementation of a standardized follow-up protocol in patients who have undergone PCI. | |
| dc.identifier | mzw103 | |
| dc.identifier.issn | 1353-4505 | |
| dc.identifier.issn | 1464-3677 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Oxford University Press (OUP) | |
| dc.relation.ispartof | International journal for quality in health care : journal of the International Society for Quality in Health Care | |
| dc.relation.isversionof | 10.1093/intqhc/mzw103 | |
| dc.subject | Humans | |
| dc.subject | Cardiovascular Diseases | |
| dc.subject | Aftercare | |
| dc.subject | Hospitalization | |
| dc.subject | Risk Factors | |
| dc.subject | Prospective Studies | |
| dc.subject | Telemedicine | |
| dc.subject | Aged | |
| dc.subject | Middle Aged | |
| dc.subject | Nurses | |
| dc.subject | Primary Health Care | |
| dc.subject | Singapore | |
| dc.subject | Female | |
| dc.subject | Male | |
| dc.subject | Cholesterol, LDL | |
| dc.subject | Coronary Artery Disease | |
| dc.subject | Acute Coronary Syndrome | |
| dc.subject | Percutaneous Coronary Intervention | |
| dc.title | The effect of a nurse-led telephone-based care coordination program on the follow-up and control of cardiovascular risk factors in patients with coronary artery disease. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Matchar, David|0000-0003-3020-2108 | |
| pubs.begin-page | 758 | |
| pubs.end-page | 763 | |
| pubs.issue | 6 | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Duke Clinical Research Institute | |
| pubs.organisational-group | Duke Global Health Institute | |
| pubs.organisational-group | Pathology | |
| pubs.organisational-group | Medicine, General Internal Medicine | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | University Institutes and Centers | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Medicine | |
| pubs.publication-status | Published | |
| pubs.volume | 28 |
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