Key result
Transitional health management significantly reduced the rate of adverse cardiovascular events (HR 0.349) compared to standard care at 6 months in elderly patients with acute myocardial infarction after percutaneous coronary intervention.
Why the study?
The study aimed to assess the effects of transitional health management on adherence and prognosis in elderly patients with acute myocardial infarction undergoing percutaneous coronary intervention.
Does transitional health management improve adherence and prognosis in elderly patients with acute myocardial infarction after percutaneous coronary intervention?
RCT (n=150)
Single-blind
Cluster randomized
Yes
Does transitional health management improve adherence and prognosis in elderly patients with acute myocardial infarction after percutaneous coronary intervention?
Hazard Ratio: 0.349 (95% CI 0.136–0.892)
Absolute Event Rate: 8% vs 21.3%
Absolute Risk Reduction: 13.3%
p-value: p=0.028
A 3-month transitional health management program significantly improves medication adherence and reduces adverse cardiovascular events and readmissions in elderly AMI patients post-PCI.
Transitional management may aid adherence post-PCI in elderly AMI; leaves open confirmation of prognostic benefit in larger trials.
PURPOSE: This study aimed to assess the effects of transitional health management on adherence and prognosis in elderly patients with acute myocardial infarction undergoing percutaneous coronary intervention. METHODS: We conducted the trial from June 2016 to December 2016. A total of one hundred and fifty patients with acute myocardial infarction after PCI who met the inclusion criteria were randomly divided into an experimental (n = 75) group and a control (n = 75) group. The participants in the experimental group received transitional health management for three months. The two groups of patients were evaluated for treatment adherence, quality of life, clinical indicators, adverse cardiovascular events and statistics regarding readmission rates at baseline and 6 months after discharge. RESULTS: Compared with the controls, patients in the intervention group demonstrated better medication adherence, reexamination adherence, healthy lifestyle and clinical indicators (all P<0.05) and lower rates of adverse cardiovascular events and readmission (all P<0.05). CONCLUSION: Transitional health management effectively improved adherence in elderly patients with acute myocardial infarction after PCI, ameliorated clinical indicators, and effectively reduced the incidence of adverse cardiovascular events and readmission rates. Transitional health management was an effective intervention for PCI patients after discharge.
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Wu et al. (2019) conducted an RCT in Acute myocardial infarction (n=150). Transitional health management vs. Standard nursing care was evaluated on Adverse cardiovascular events at 6 months (HR 0.349, 95% CI 0.136-0.892, p=0.028). Transitional health management significantly reduced the rate of adverse cardiovascular events (HR 0.349) compared to standard care at 6 months in elderly patients with acute myocardial infarction after percutaneous coronary intervention.
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