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http://hdl.handle.net/1843/62521| Type: | Artigo de Periódico |
| Title: | Text messages to promote secondary prevention after acute coronary syndrome (impacs trial) |
| Authors: | Luiz Guilhermepassaglia Luisa Campos Caldeira Brant José Luiz Padilha da Silva Bruno Ramos Nascimento Antonio Luiz Pinho Ribeiro |
| Abstract: | Background: Short message service (SMS) to promote healthcare improves the control of cardiovascular risk factors, but there is a lack of evidence in low and middle-income countries, particularly after acute coronary syndromes (ACS). Objective: This study aims to evaluate whether the use of SMS increases risk factor control after hospital discharge for ACS. Methods: IMPACS is a 2-arm randomized trial with 180 patients hospitalized due to ACS at a tertiary hospital in Brazil. Eligible patients were randomized (1:1) to an SMS intervention (G1) or standard care (G2) upon hospital discharge. The primary endpoint was set to achieve 4 or 5 points in a risk factor control score, consisting of a cluster of 5 modifiable risk factors: LDL-C <70mg/dL, blood pressure (BP) <140/90mmHg, regular exercise (≥5 days/week, 30 minutes/session), nonsmoker status, and body mass index (BMI) <25 kg/m2] at 6 months. Secondary outcomes were components of the primary outcome plus rehospitalization, cardiovascular death, and death from any cause. Results are designated as significant if p<0.05.Results: From randomized patients, 147 were included in the final analysis. Mean age was 58 (51–64) years, 74% males. The primary outcome was achieved by 12 (16.2%) patients in G1 and 15 (20.8%) in G2 (OR=0.73, 95%CI 0.32–1.70, p=0.47). Secondary outcomes were also similar: LDL-C<70 mg/dl (p=0.33), BP<140/90 mmHg (p=0.32), non-smoker(p=0.74), regular exercise (p=0.97), BMI (p=0.71), and rehospitalization (p=0.06). Death from any cause occurred in three participants (2%), including one cardiovascular death in each group.Conclusion: SMS intervention did not significantly improve cardiovascular risk factor control when compared to standard care in patients discharged after ACS in Brazil. |
| Subject: | Acute Coronary Syndrome Text Messaging Risk Factors Telemedicine. |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | 10.36660/ijcs.20200378 |
| URI: | http://hdl.handle.net/1843/62521 |
| Issue Date: | 2021 |
| metadata.dc.url.externa: | https://doi.org/10.36660/ijcs.20200378 |
| metadata.dc.relation.ispartof: | International Journal of Cardiovascular Sciences |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Text Messages to Promote Secondary Prevention after Acute Coronary Syndrome pdfa.pdf | 422.61 kB | Adobe PDF | View/Open |
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