A Retrospective Analysis of the Adherence to Clinical Practice Guidelines Using the "MedicBK" Digital Platform in Patients With Hypertension and Atrial Fibrillation

Last updated: January 26, 2021
Sponsor: Federal State Budgetary Institution, V. A. Almazov Federal North-West Medical Research Centre, of the Ministry of Health
Overall Status: Completed

Phase

N/A

Condition

High Blood Pressure (Hypertension)

Stress

Vascular Diseases

Treatment

N/A

Clinical Study ID

NCT04564118
909-2020
  • Ages > 19
  • All Genders

Study Summary

The Clinical Decision Support Systems (CDSS) based on real clinical data and its own algorithms can help to make the right choice. This trial is designed to assess the difference between retrospective electronic medical cards (EMC) therapy prescriptions and MedicBK prescriptions based on key patient characteristics.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age > 18 years old
  2. Patients diagnosed with nonvalvular atrial fibrillation and essential hypertensionhaving indications for therapy according to European guidelines.

Exclusion

Exclusion Criteria:

  1. Valvular cause of atrial fibrillation
  2. GFR less than 30 ml / min
  3. Active liver disease
  4. Acute coronary syndrome
  5. The presence of thyroid diseases as a cause of atrial fibrillation
  6. Secondary arterial hypertension

Study Design

Total Participants: 191
Study Start date:
September 01, 2020
Estimated Completion Date:
January 11, 2021

Study Description

There is a lot of data from registries about poor adherence to guidelines. It is connected with a problem that patients usually have a lot of comorbidities and physicians need to know сonsequently the huge number of medications and combinations. It is very difficult to decide quickly according to available data from libraries like PubMed. The Clinical Decision Support Systems (CDSS) based on real clinical data and its own Artificial Intelligence algorithms can help to make the right choice. This trial is designed to assess the difference between retrospective electronic medical cards (EMC) therapy prescriptions and MedicBK prescriptions based on key patient characteristics.

Two groups of experts (cardiologists with clinical practice for more than 5 years) will be participating in the trial.

Using main characteristics from EMC the first group of experts will put this data into MedicBK platform and assess retrospective treatment. The next blinded group of experts will perform prescriptions using MedicBK algorithms based on current guidelines and data from available clinical trials. The main hypothesis is the use Clinical Decision Support Systems (CDSS) better than current clinical practice. This option can help to make the right choice of medical combination based on main patient's clinical characteristics

Connect with a study center

  • V.A. Almazov Fnmrc

    Saint-petersburg, 197341
    Russian Federation

    Site Not Available

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