Abstract
Background Short message service (SMS) to promote healthcare improves the control of cardiovascular risk factors, but there is a lack of evidence in low and middle-income countries, particularly after acute coronary syndromes (ACS). Objective This study aims to evaluate whether the use of SMS increases risk factor control after hospital discharge for ACS. Methods IMPACS is a 2-arm randomized trial with 180 patients hospitalized due to ACS at a tertiary hospital in Brazil. Eligible patients were randomized (1:1) to [...]
Highlights
Ischemic heart disease is the leading cause of death and loss of cardiovascular health worldwide.[1]
The primary and secondary outcomes were compared between groups by means of the chi-square test, and the results were presented as odds ratios with 95% confidence intervals (CI)
At ±6 months after hospital discharge, 13 participants in the intervention group (14.4%) and 17 participants in the control group (18.9%) did not attend the scheduled appointment, even though they were personally contacted through their cell phone
Summary
Ischemic heart disease is the leading cause of death and loss of cardiovascular health worldwide.[1] In Brazil, age-standardized cardiovascular mortality rate has declined in recent decades, coronary heart disease remains the leading cause of death.[2,3] The increasing prevalence of cardiovascular risk factors, due to growing urbanization, is involved in this scenario.[4]. Short message service (SMS) to promote healthcare improves the control of cardiovascular risk factors, but there is a lack of evidence in low and middle-income countries, after acute coronary syndromes (ACS). Objective: This study aims to evaluate whether the use of SMS increases risk factor control after hospital discharge for ACS. Eligible patients were randomized (1:1) to an SMS intervention (G1) or standard care (G2) upon hospital discharge. Conclusion: SMS intervention did not significantly improve cardiovascular risk factor control when compared to standard care in patients discharged after ACS in Brazil.
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