Treatment with Adenosine Diphosphate Receptor Inhibitors—Longitudinal Assessment of Treatment Patterns and Events after Acute Coronary Syndrome (TRANSLATE-ACS) study design: Expanding the paradigm of longitudinal observational research

Background Platelet inhibition is critical in reducing both short- and long-term atherothrombotic risks after acute myocardial infarction (MI), especially among patients managed with percutaneous coronary intervention (PCI). Currently available antiplatelet medications, including adenosine diphospha...

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Veröffentlicht in:The American heart journal 2011-11, Vol.162 (5), p.844-851
Hauptverfasser: Chin, Chee Tang, MBChB, MRCP, Wang, Tracy Y., MD, MHS, MSc, Anstrom, Kevin J., PhD, Zhu, Baojin, PhD, Maa, Jen-Fue, PhD, Messenger, John C., MD, Ryan, Kelley A., BA, Davidson-Ray, Linda, Zettler, Marjorie, PhD, MPH, Effron, Mark B., MD, Mark, Daniel B., MD, Peterson, Eric D., MD, MPH
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container_end_page 851
container_issue 5
container_start_page 844
container_title The American heart journal
container_volume 162
creator Chin, Chee Tang, MBChB, MRCP
Wang, Tracy Y., MD, MHS, MSc
Anstrom, Kevin J., PhD
Zhu, Baojin, PhD
Maa, Jen-Fue, PhD
Messenger, John C., MD
Ryan, Kelley A., BA
Davidson-Ray, Linda
Zettler, Marjorie, PhD, MPH
Effron, Mark B., MD
Mark, Daniel B., MD
Peterson, Eric D., MD, MPH
description Background Platelet inhibition is critical in reducing both short- and long-term atherothrombotic risks after acute myocardial infarction (MI), especially among patients managed with percutaneous coronary intervention (PCI). Currently available antiplatelet medications, including adenosine diphosphate (ADP) receptor inhibitors, have demonstrated variability in efficacy and safety in clinical trials, yet few studies have examined contemporary “real-world” approaches to platelet inhibition and associated outcomes. Methods TRANSLATE-ACS is a prospective observational study that will track up to 17,000 MI patients managed with PCI, from the inhospital to outpatient settings for up to 12 months postdischarge to provide a comprehensive picture of current treatment patterns and outcomes in routine clinical practice. TRANSLATE-ACS exemplifies a collaborative study design that efficiently builds upon a well-established PCI registry platform, and yet, through a systematic telephone interview follow-up process, provides important longitudinal clinical and economic follow-up capacity through 15 months after initial MI hospitalization. Furthermore, TRANSLATE-ACS incorporates a hospital-level, clustered, randomized substudy to investigate the impact of point-of-care platelet inhibition testing on subsequent patient management. Finally, TRANSLATE-ACS provides feedback through quarterly reports to participating sites on their care practices benchmarked to peer performance to support and promote longitudinal quality of cardiovascular care delivery. Conclusion TRANSLATE-ACS not only addresses important clinical and scientific questions but also includes pioneering design features that will assist in the evolution of clinical registries.
doi_str_mv 10.1016/j.ahj.2011.08.021
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Currently available antiplatelet medications, including adenosine diphosphate (ADP) receptor inhibitors, have demonstrated variability in efficacy and safety in clinical trials, yet few studies have examined contemporary “real-world” approaches to platelet inhibition and associated outcomes. Methods TRANSLATE-ACS is a prospective observational study that will track up to 17,000 MI patients managed with PCI, from the inhospital to outpatient settings for up to 12 months postdischarge to provide a comprehensive picture of current treatment patterns and outcomes in routine clinical practice. TRANSLATE-ACS exemplifies a collaborative study design that efficiently builds upon a well-established PCI registry platform, and yet, through a systematic telephone interview follow-up process, provides important longitudinal clinical and economic follow-up capacity through 15 months after initial MI hospitalization. Furthermore, TRANSLATE-ACS incorporates a hospital-level, clustered, randomized substudy to investigate the impact of point-of-care platelet inhibition testing on subsequent patient management. Finally, TRANSLATE-ACS provides feedback through quarterly reports to participating sites on their care practices benchmarked to peer performance to support and promote longitudinal quality of cardiovascular care delivery. Conclusion TRANSLATE-ACS not only addresses important clinical and scientific questions but also includes pioneering design features that will assist in the evolution of clinical registries.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/j.ahj.2011.08.021</identifier><identifier>PMID: 22093200</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acute Coronary Syndrome - drug therapy ; Acute coronary syndromes ; Adenosine ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiovascular ; Clinical medicine ; Coronary heart disease ; Drug therapy ; Heart ; Heart attacks ; Hospitalization ; Humans ; Longitudinal Studies ; Medical sciences ; Myocarditis. Cardiomyopathies ; Patient Selection ; Platelet Aggregation Inhibitors - administration &amp; dosage ; Purinergic P2Y Receptor Antagonists - administration &amp; dosage ; Randomized Controlled Trials as Topic ; Registries ; Research Design ; Stroke ; Thrombosis</subject><ispartof>The American heart journal, 2011-11, Vol.162 (5), p.844-851</ispartof><rights>Mosby, Inc.</rights><rights>2011 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Mosby, Inc. 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Currently available antiplatelet medications, including adenosine diphosphate (ADP) receptor inhibitors, have demonstrated variability in efficacy and safety in clinical trials, yet few studies have examined contemporary “real-world” approaches to platelet inhibition and associated outcomes. Methods TRANSLATE-ACS is a prospective observational study that will track up to 17,000 MI patients managed with PCI, from the inhospital to outpatient settings for up to 12 months postdischarge to provide a comprehensive picture of current treatment patterns and outcomes in routine clinical practice. TRANSLATE-ACS exemplifies a collaborative study design that efficiently builds upon a well-established PCI registry platform, and yet, through a systematic telephone interview follow-up process, provides important longitudinal clinical and economic follow-up capacity through 15 months after initial MI hospitalization. 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Vascular system</topic><topic>Cardiovascular</topic><topic>Clinical medicine</topic><topic>Coronary heart disease</topic><topic>Drug therapy</topic><topic>Heart</topic><topic>Heart attacks</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Medical sciences</topic><topic>Myocarditis. 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Currently available antiplatelet medications, including adenosine diphosphate (ADP) receptor inhibitors, have demonstrated variability in efficacy and safety in clinical trials, yet few studies have examined contemporary “real-world” approaches to platelet inhibition and associated outcomes. Methods TRANSLATE-ACS is a prospective observational study that will track up to 17,000 MI patients managed with PCI, from the inhospital to outpatient settings for up to 12 months postdischarge to provide a comprehensive picture of current treatment patterns and outcomes in routine clinical practice. TRANSLATE-ACS exemplifies a collaborative study design that efficiently builds upon a well-established PCI registry platform, and yet, through a systematic telephone interview follow-up process, provides important longitudinal clinical and economic follow-up capacity through 15 months after initial MI hospitalization. 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subjects Acute Coronary Syndrome - drug therapy
Acute coronary syndromes
Adenosine
Biological and medical sciences
Cardiology. Vascular system
Cardiovascular
Clinical medicine
Coronary heart disease
Drug therapy
Heart
Heart attacks
Hospitalization
Humans
Longitudinal Studies
Medical sciences
Myocarditis. Cardiomyopathies
Patient Selection
Platelet Aggregation Inhibitors - administration & dosage
Purinergic P2Y Receptor Antagonists - administration & dosage
Randomized Controlled Trials as Topic
Registries
Research Design
Stroke
Thrombosis
title Treatment with Adenosine Diphosphate Receptor Inhibitors—Longitudinal Assessment of Treatment Patterns and Events after Acute Coronary Syndrome (TRANSLATE-ACS) study design: Expanding the paradigm of longitudinal observational research
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