Enhancing Rural Health Via Cardiovascular Telehealth for Rural Patients Implementation (E-VICTORS)

Last updated: January 29, 2025
Sponsor: Wake Forest University Health Sciences
Overall Status: Active - Recruiting

Phase

N/A

Condition

Cardiac Disease

Myocardial Ischemia

Chest Pain

Treatment

Quality Surveillance Data Collection

Clinical Study ID

NCT04617834
IRB00068612
  • Ages > 18
  • All Genders

Study Summary

This pre-post study will evaluate the implementation of a cardiovascular telehealth platform, which will connect experts from the Wake Forest University Health Sciences (WFUHS) tertiary care center with Wilkes County Emergency Medical Services (WC-EMS) system, Wilkes Medical Center Emergency Department (ED), and The Wilkes County Health Department Public Health Community Clinic (PHCC) to improve cardiovascular care in this rural community.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • age > 18 years at time of index encounter

  • Cardiovascular symptoms (chest discomfort or dyspnea consistent with possible ACS)as indicated by the treating provider

Exclusion

Exclusion Criteria:

  • Age <18

  • Traumatic chest pain

  • Dyspnea that is clearly from a non-cardiac etiology

  • Patients with hemodynamic instability SBP < 90 mmHg, HR>160 or <40 bpm

  • Patients requiring intubation/mechanical ventilation

Study Design

Total Participants: 24000
Treatment Group(s): 1
Primary Treatment: Quality Surveillance Data Collection
Phase:
Study Start date:
February 01, 2021
Estimated Completion Date:
August 31, 2025

Study Description

This program aims to improve cardiovascular care for patients in Wilkes County by implementing a cardiovascular telehealth program designed to; a) assist WC- EMS paramedics with the early risk stratification (electrocardiogram (EKG) interpretation, vital signs, and risk scores), treatment, and transportation destination decisions in patients with acute chest pain or dyspnea, b) support Wilkes Medical Center (WMC) Emergency Department (ED) providers (physicians and advanced practice clinicians) in the evaluation, management, and disposition of patients with acute cardiovascular symptoms, and c) provide consultative expertise to the Primary Health Care Centers (PHCC) for patients seen following an EMS or ED encounter for cardiovascular symptoms.

Connect with a study center

  • Wilkes County Emergency Medical Services

    Wilkesboro, North Carolina 28697
    United States

    Site Not Available

  • Wilkes County Public Health Community Clinic

    Wilkesboro, North Carolina 28697
    United States

    Site Not Available

  • Wilkes Medical Center

    Wilkesboro, North Carolina 28697
    United States

    Site Not Available

  • Wake Forest University Health Sciences

    Winston-Salem, North Carolina 27157
    United States

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.