Myocardial Infarction, COmbined-device, Recovery Enhancement Study

Completed · Not applicable

Conditions studied: Acute Myocardial Infarction, Coronary Artery Disease, Acute Coronary Syndrome, Myocardial Infarction

In brief

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 monitor. 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 cardiac rehabilitation and outpatient follow-up appointments. In this prospective study, STEMI or type 1 NSTEMI patients are being enrolled to use the Corrie Health Digital 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 Health Digital Platform to patients in the historical standard of care comparison group.

Key facts

Study ID

NCT03760796

Run by

Johns Hopkins University

People needed

200

Starts

2016-10-01

Expected to finish

2019-12-17

Last updated by the study team

2021-07-29

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Admitted for acute myocardial infarction (STEMI or Type 1 NSTEMI)
• 18 years or older
• English-speaking
• Own any type of smartphone

You may not qualify if…

• 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:
• None

Where it is running

• Johns Hopkins Bayview Medical Center — Baltimore, Maryland, United States
• Johns Hopkins Hospital — Baltimore, Maryland, United States
• Massachusetts General Hospital — Boston, Massachusetts, United States
• Reading Hospital-Tower Health — Reading, Pennsylvania, United States

Full record on ClinicalTrials.gov

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