一个基于多学科的TEAM方法的随机对照试验,以指导对患有外周动脉疾病 (TEAM-PAD) 患者的二次心血管风险降低的研究协议
Ritesh Chimoriya1, Sophie James2, Leonard Kritharides3
1Institute of Academic Surgery, Vascular Department, Concord Repatriation General Hospital, Concord, Sydney, New South Wales, Australia; Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia; Department of Vascular Surgery, Concord Hospital, The University of Sydney, 1 Hospital Road, Concord, NSW 2139, Australia.
TEAM-PAD研究调查了一个虚拟的多学科团队是否能改善周围动脉疾病 (PAD) 患者的心血管风险降低. 这种方法旨在加强二次预防,并在这个高危人群中潜在地减少心血管事件.
科学领域:
- 心血管医学 心血管医学
- 血管外科 血管外科
- 临床试验 临床试验
背景情况:
- 周围动脉疾病 (PAD) 与高心血管发病率和死亡率有关.
- 有效的二次预防对于改善PAD患者的治疗结果至关重要.
- TEAM-PAD研究解决了在PAD中加强心血管风险降低策略的需要.
研究的目的:
- 评估集中式虚拟多学科团队 (MDT) 护理模式的有效性.
- 为了确定这种MDT方法是否改善了指导方针推的PAD门诊患者的二次心血管风险降低.
- 评估协调,个性化护理建议对心血管风险的影响.
主要方法:
- 一个多中心,随机对照试验 (TEAM-PAD) 涉及PAD患者.
- 参与者被随机分配到接受MDT建议的干预组或接受通常护理的对照组.
- 主要结局是从基线到9个月后续的10年心血管风险的变化.
主要成果:
- 研究方案详细说明了评估主要结果的方法.
- 二次结果包括可修改的心血管风险因素的控制,药物优化以及各种临床和生活质量措施.
- 关于MDT方法有效性的详细结果将在研究完成后报告.
结论:
- 介绍了TEAM-PAD试验协议,旨在提供强有力的证据,证明MDT对PAD患者的益处.
- 这项研究有可能为临床实践提供有关高风险PAD人群心血管风险降低的信息.
- 结果可能表明,通过协调,个性化的护理,心血管风险改善和事件减少.
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