RecruitingOBSERVATIONAL

Early Discharge Pathway Registry

This study focuses on patients who experienced a heart attack and were able to go home earlier than usual after a procedure called primary PCI. This procedure helps clear blocked heart arteries. Researchers will look at information from a large group of patients treated at a major heart centre in the UK. The goal is to better understand who benefits most from early discharge, identify any potential risks, and see what factors lead to good recovery. By studying these real-world experiences, doctors hope to improve the way they care for heart attack patients, making treatment safer and more effective, and helping more people get back to their lives quicker.

At a glance

Status

Recruiting

Sponsor

Queen Mary University of London

Enrolment target

20,000

Start

11 Nov 2023

Estimated completion

31 Dec 2026

Myocardial Infarction ST Elevation Myocardial Infarction Non-ST Elevation Myocardial Infarction

What is this study about?

This research is looking at how hospitals care for people who have had a heart attack. Even though treating heart problems has improved a lot, heart disease is still a big health concern. Thanks to modern techniques, doctors can now often treat blocked heart arteries with a procedure called primary percutaneous coronary intervention (PCI), which is less invasive than traditional surgery. This has helped many people. Hospitals are also getting better at letting some patients go home sooner after this procedure, especially if they are recovering well. Patients often prefer to recover at home, and it also helps hospitals use their beds more efficiently.

This study will gather information from a large number of patients at one of the biggest heart centres in the UK. All patients admitted for a type of heart attack and then discharged early after their PCI procedure will be included. The researchers will look at details about these patients, such as their general health, the type of heart attack they had, and how they recovered. The main goal is to understand how safe and practical early discharge is for these patients. They will also try to figure out what factors might lead to a better recovery and what might cause problems.

By carefully studying this information, the researchers hope to learn more about treating heart attacks. This knowledge can help doctors identify which patients are most suitable for early discharge, improve care guidelines, and potentially save lives. It's about using real-world experiences to make heart attack treatment even better for everyone.

Key takeaways

This study uses existing heart attack patient data to improve care.
It focuses on patients who went home early after a heart procedure (PCI).
No new tests or visits are needed from patients.
Your medical information is kept private and anonymous.
The goal is to make heart attack treatment safer and more effective.
Data from a major UK heart centre is being used.

Who may be eligible?

This study includes adults aged 16 and over who were admitted to the BHC heart centre because of a heart attack (specifically, acute coronary syndrome).

If you are 16 years old or older, both men and women who received treatment at this specific heart centre for a heart attack will be included. There’s no need to sign a consent form for this study, as patient information is automatically added to a secure database for research purposes if you meet the criteria.

Children under 16 years old will not be part of this study. The study also includes adults who might be considered vulnerable or unable to give their own consent, as long as they were looked after by the Interventional Cardiology team at the BHC.

Quick self-check

Were you 16 years old or older when you had your heart attack?
Were you treated for a heart attack at the BHC heart centre?
Did you have a procedure called primary PCI?
Were you discharged from the hospital using an early discharge pathway?

This is a guide only — the research team will confirm whether you can take part.

What does participation involve?

If you meet the requirements, your existing medical information from your hospital stay for a heart attack will be used for this study. You won't need to do anything extra, like attend special appointments, take new medications, or undergo additional tests specifically for this research. Your doctor will have already collected all the necessary information as part of your standard care. The research team will simply review this anonymised data to learn from it.

Potential risks and benefits

The main benefit of this study is that it helps doctors understand how to improve care for heart attack patients, particularly regarding early discharge. This could lead to safer and more effective treatment in the future. There are no direct risks to you if your data is used, as the information is already collected as part of your routine medical care and will be kept secure and confidential. Since you are not actively participating beyond data collection, there is no 'right to withdraw' in the traditional sense, as your anonymised data, once included, contributes to the overall findings without specific identification.

Locations (2)

Barts Health NHS Trust
London, United Kingdom· Recruiting
Dr. Daniel Jones
London, United Kingdom· Recruiting

Common questions

What is primary PCI?

Primary PCI is a common procedure where doctors insert a tiny tube into your blood vessels to open up blocked arteries in your heart, often using a small balloon and a stent (a tiny mesh tube) to keep the artery open.

What does 'early discharge' mean?

Early discharge means that patients who are recovering well after a heart procedure are able to go home from the hospital sooner than might have been the usual practice in the past.

Will my personal details be shared?

No, your personal details will be kept private. The study uses a secure database, and your information will be anonymised, meaning your name and other identifying details won't be linked to the research findings.

Do I need to do anything to be in this study?

No, you don't need to do anything. If you meet the criteria for the study, your existing medical records from your heart attack treatment at the BHC will be used. You won't have extra appointments or tests.

What is a 'registry' in research?

A registry is a collection of information about people who have a particular disease or condition, or who have undergone a certain medical procedure. It helps researchers understand patterns and outcomes over time.

How to find out more

Dr. Daniel A Jones

dan.jones8@nhs.net 02073777000 Official trial record

Always speak to your GP or specialist before deciding to take part in a study.