Rapid access clinics for patients with chest pain: will they work in Australia?

Chow, Clara K

doi:10.5694/mja2.50119

Cited by 5 publications

(1 citation statement)

References 9 publications

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“…Most patients seen are first presentation patients as the clinic’s remit is to not conduct long-term follow-up of patients to enable the clinic to continue to provide rapid access to new chest pain patients. 27 Data from a 2015 audit show 13% of patients had pre-existing coronary artery disease (CAD) and 7.9% were diagnosed with new CAD. Many patients presenting to this clinic have multiple CAD risk factors (81.3% had ≥2 cardiovascular risk factors of pre-existing CAD, chronic renal failure, diabetes, hyperlipidaemia, hypertension, overweight/obesity, smoker).…”

Section: Methodsmentioning

confidence: 99%

While you’re waiting, a waiting room-based, cardiovascular disease-focused educational program: protocol for a randomised controlled trial

2020

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IntroductionPatients with cardiovascular disease (CVD) frequently attend outpatient clinics and spend a significant amount of time in waiting rooms. Currently, this time is poorly used. This study aims to investigate whether providing CVD and cardiopulmonary resuscitation (CPR) education to waiting patients in a cardiology clinic of a large referral hospital improves motivation to change health behaviours, CPR knowledge, behaviours and clinic satisfaction post clinic, and whether there is any impact on reported CVD lifestyle behaviours or relevant CPR outcomes at 30 days.Methods and analysisRandomised controlled trial with parallel design to be conducted among 330 patients in the waiting room of a chest pain clinic in a tertiary referral hospital. Intervention (n=220) participants will receive a tablet-delivered series of educational videos catered to self-reported topics of interest (physical activity, blood pressure, diet, medications, smoking and general health) and level of health knowledge. Control (n=110) participants will receive usual care. In a substudy, intervention participants will be randomised 1:1 to receive an extra video on CPR or no extra video. The primary outcome will be the proportion of intervention and control participants who report high motivation to improve physical activity, diet and blood pressure monitoring at end of clinic. The primary outcome of the CPR study will be confidence to perform CPR post clinic. Secondary analysis will examine impact on clinic satisfaction, lifestyle behaviours, CPR knowledge and willingness to perform CPR post clinic and at 30-day follow-up.Ethics and disseminationEthics approval has been received from the Western Sydney Local Health District Human Research Ethics Committee. All patients will provide informed consent via a tablet-based eConsent framework. Study results will be disseminated via the usual channels including peer-reviewed publications and presentations at national and international conferences.Trial registration numberANZCTR12618001725257.

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Section: Methodsmentioning

confidence: 99%