Last updated on June 2017

Quality of Care in AS IMPULSE Study

Brief description of study

The purpose of this study is to narrow the gap between patients being diagnosed with severe aortic stenosis and those being appropriately monitored and treated. For this purpose a prospective survey of current practice (3 months) will be conducted followed by a six month period of intervention during which a variety of quality improvements measures will be implemented. There will then be a 3 month follow-up period during which the legacy of this initiative will be monitored during which no intervention will be carried out.

Detailed Study Description

All patients meeting pre-specified criteria (severe aortic stenosis whether with or without symptoms) will be collected. There will be three phases at each site observation A, intervention, observation B. Observation A: In this phase, the nurse identifies cases with severe AS at the hub AND the satellite and collects their data. Baseline data for each patient will be collected and a follow-up will be done after three months for each patient to determine his/her outcome and the treatment that was decided on. There will also be an optional telephone follow-up to find out the patient's outcome. Intervention: In this phase, the physician referring a patient for echocardiography will be notified of a finding of severe aortic stenosis: the nurse brings cases with severe AS to the attention of the referring physician within a week (via phone, e-mail or letter) to make them aware of the diagnosis. Baseline and follow-up data will be collected for each patient as before. Moreover, more detailed data with regard to the patient's health status will be documented. Observation B: Same as Observation Phase A

Clinical Study Identifier: NCT02241447

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Christopher Adlbrecht, MD

Krankenhaus Hietzing
Wien, Austria
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Jiri Maly, MD

IKEM - Institute for Clinical and Experimental Medicine
Prag, Czechia
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Lionel Mangin, MD

Centre Hospitalier d'Annecy
Annecy, France
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David Messika-Zeitoun, MD

Bichat Hospital
Paris, France
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Alexander Lauten, MD

Charit - Campus Benjamin Franklin
Berlin, Germany
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Martin Arnold, MD

Universit tsklinikum Erlangen
Erlangen, Germany
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Robert Bernat, Prof

Westpfalz Klinikum
Kaiserslautern, Germany
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Norbert Frey,

UKSK Campus Kiel, Klinik f r Kardiologie und Angiologie
Kiel, Germany
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Stephan Baldus, Prof

Herzzentrum Universit tsklinikum K ln
Köln, Germany
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Eberhard Schulz, Prof

Universit tsmedizin der Johannes Gutenberg-Universit t Mainz
Mainz, Germany
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Johannes Rieber, MD

St dtisches Klinikum M nchen
München, Germany
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Karl-Eugen Hauptmann, MD

Krankenhaus der Barmherzigen Br der
Trier, Germany
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Donato D'Agostino, MD

Universit degli Studi di Bari Aldo Moro
Bari, Italy
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Ciro Indolfi, Prof

University "Magna Gr cia" of Catanzaro
Catanzaro, Italy
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Marco Luigi Aiello, MD

IRCCS San Matteo Hospital
Pavia, Italy
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Gennaro Sardella, MD

Policlinico Umberto I Rom
Rom, Italy
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Mauro Rinaldi, Prof

University of Torino
Torino, Italy
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Berto Bouma, MD

AMC Medical Center
Amsterdam, Netherlands
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Antonio Serra Peñaranda, MD

Santa Creu Barcelona
Barcelona, Spain
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Francesco Maisano, Prof

Universit tsSpital Z rich
Zürich, Switzerland
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Richard Steeds, MD

Queen Elizabeth Hospital
Birmingham, United Kingdom
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Guy Lloyd, MD

Bart Heart Center
London, United Kingdom
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Jeet Thambyrajah, MD

James Cook University Hospital
Middlesbrough, United Kingdom
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