Myocardial Infarction, COmbined-device, Recovery Enhancement Study
| Status: | Recruiting |
|---|---|
| Conditions: | Peripheral Vascular Disease, Cardiology, Cardiology, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/21/2019 |
| Start Date: | October 1, 2016 |
| End Date: | April 30, 2019 |
| Contact: | Seth S Martin, MD, MHS |
| Email: | smart100@jhmi.edu |
| Phone: | 410-502-0469 |
The Johns Hopkins Myocardial Infarction, COmbined-device, Recovery Enhancement (MiCORE) Study
Unplanned readmissions after hospitalization for acute myocardial infarction (AMI) are among
the leading causes of preventable morbidity, mortality, and healthcare costs. Digital health
interventions (DHI) could be an effective tool in promoting self-management, adherence to
guideline directed therapy, and cardiovascular risk reduction.
A DHI developed at Johns Hopkins—the Corrie Health Digital Platform—includes the first
cardiology Apple CareKit smartphone application, paired with an Apple Watch and iHealth
Bluetooth-enabled blood pressure cuff. Corrie targets: (1) self-management of cardiac
medications, (2) self-tracking of vital signs, (3) education about cardiovascular disease
through articles and animated videos, and (4) care coordination that includes outpatient
follow-up appointments.
In this prospective study, STEMI or type 1 NSTEMI patients are being enrolled to use the
Corrie Digital Health Platform beginning early during participants' hospital stay. Enrollment
sites include Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Massachusetts
General Hospital, and Reading Hospital. The primary objective is to compare time to first
readmission within 30 days post-discharge among patients with the Corrie Digital Health
Platform to patients in the historical standard of care comparison group.
the leading causes of preventable morbidity, mortality, and healthcare costs. Digital health
interventions (DHI) could be an effective tool in promoting self-management, adherence to
guideline directed therapy, and cardiovascular risk reduction.
A DHI developed at Johns Hopkins—the Corrie Health Digital Platform—includes the first
cardiology Apple CareKit smartphone application, paired with an Apple Watch and iHealth
Bluetooth-enabled blood pressure cuff. Corrie targets: (1) self-management of cardiac
medications, (2) self-tracking of vital signs, (3) education about cardiovascular disease
through articles and animated videos, and (4) care coordination that includes outpatient
follow-up appointments.
In this prospective study, STEMI or type 1 NSTEMI patients are being enrolled to use the
Corrie Digital Health Platform beginning early during participants' hospital stay. Enrollment
sites include Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Massachusetts
General Hospital, and Reading Hospital. The primary objective is to compare time to first
readmission within 30 days post-discharge among patients with the Corrie Digital Health
Platform to patients in the historical standard of care comparison group.
Corrie Digital Health Platform group
Inclusion Criteria:
- Admitted for acute myocardial infarction (STEMI or Type 1 NSTEMI)
- 18 years or older
- English-speaking
- Own any type of smartphone
Exclusion Criteria:
- Visual, hearing, or motor impairment which precludes the use of the intervention
- Inability to participate due to severity of illness (e.g., intubated and on sedation
in the setting of cardiogenic shock). If patients are deemed clinically unstable and
unable to participate at the time of initial screening, the research team member
returns at a later date to determine whether this status has changed.
Historical Standard of Care Comparison group
Inclusion Criteria:
- Admitted for acute myocardial infarction (STEMI or NSTEMI)
- 18 years or older
- English-speaking
Exclusion Criteria:
We found this trial at
4
sites
Johns Hopkins Bayview Medical Center There is no better story in American medicine in the...
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