Key result
An electronic medical record-based clinical reminder to providers significantly increased referrals for ICD implantation in patients with LVEF <35% compared to no intervention (24% vs 2%, P=0.004).
Why the study?
Does an electronic medical record-based clinical reminder to providers improve referral for consideration of defibrillator implantation in patients with left ventricular ejection fraction <35%?
Population
89 patients with left ventricular ejection fraction <35% on echocardiography, aged <80 years, without a…
Comparison
A clinical note/reminder to the provider in the… vs No intervention.
Design
RCT, Patients were randomized to intervention or control.
Follow-up
6 months
Authors
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EMR reminders merit adoption to boost ICD referrals in eligible patients; confirms effectiveness of decision-support tools for guideline-directed therapy.
RCT (n=89)
No
Does an electronic medical record-based clinical reminder to providers improve referral for consideration of defibrillator implantation in patients with left ventricular ejection fraction <35%?
Absolute Event Rate: 24% vs 2%
p-value: p=0.004
A simple electronic medical record-based reminder to providers significantly increases the rate of referral for ICD implantation in eligible patients with reduced LVEF.
Gupta et al. (2013) conducted an RCT in Reduced left ventricular ejection fraction (<35%) (n=89). Electronic medical record-based clinical reminder vs. No intervention was evaluated on Referral for consideration of defibrillator implantation (p=0.004). An electronic medical record-based clinical reminder to providers significantly increased referrals for ICD implantation in patients with LVEF <35% compared to no intervention (24% vs 2%, P=0.004).
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