The Keeping on Track Study: Exploring the Activity Levels and Utilization of Healthcare Services of Acute Coronary Syndrome (ACS) Patients in the First 30-Days after Discharge from Hospital

Health Translation SA Cardiac Rehabilitation Group, Robyn A Clark, Jonathon Foote, Vincent L Versace, Alex Brown, Mark Daniel, Neil T Coffee, Tania S Marin, Constance Kourbelis, Margaret Arstall, Anand Ganesan, Ralph Maddison, Janet Kelly, Tracey Barry, Wendy Keech, Stephen J Nicholls

Research output: Contribution to journalArticle

Abstract

The aim of this study was to investigate the impact of bedside discharge education on activity levels and healthcare utilization for patients with acute coronary syndrome (ACS) in the first 30 days post-discharge. Knowledge recall and objective activity and location data were collected by global positioning systems (GPS). Participants were asked to carry the tracking applications (apps) for 30⁻90 days. Eighteen participants were recruited (6 metropolitan 12 rural) 61% ST elevation myocardial infarction (STEMI), mean age 55 years, 83% male. Recall of discharge education included knowledge of diagnosis (recall = 100%), procedures (e.g., angiogram = 40%), and comorbidities (e.g., hypertension = 60%, diabetes = 100%). In the first 30 days post-discharge, median steps per day was 2506 (standard deviation (SD) ± 369) steps (one participant completed 10,000 steps), 62% visited a general practitioner (GP) 16% attended cardiac rehabilitation, 16% visited a cardiologist, 72% a pharmacist, 27% visited the emergency department for cardiac event, and 61% a pathology service (blood tests). Adherence to using the activity tracking apps was 87%. Managing Big Data from the GPS and physical activity tracking apps was a challenge with over 300,000 lines of raw data cleaned to 90,000 data points for analysis. This study was an example of the application of objective data from the real world to help understand post-ACS discharge patient activity. Rates of access to services in the first 30 days continue to be of concern.

LanguageEnglish
JournalMedical sciences (Basel, Switzerland)
Volume7
Issue number4
DOIs
Publication statusPublished - 19 Apr 2019

Keywords

  • acute coronary syndrome
  • 30-days
  • discharge education
  • physical activity
  • healthcare utilization

Cite this

@article{2b6520fb87c648f2b02918a512a4397e,
title = "The Keeping on Track Study: Exploring the Activity Levels and Utilization of Healthcare Services of Acute Coronary Syndrome (ACS) Patients in the First 30-Days after Discharge from Hospital",
abstract = "The aim of this study was to investigate the impact of bedside discharge education on activity levels and healthcare utilization for patients with acute coronary syndrome (ACS) in the first 30 days post-discharge. Knowledge recall and objective activity and location data were collected by global positioning systems (GPS). Participants were asked to carry the tracking applications (apps) for 30⁻90 days. Eighteen participants were recruited (6 metropolitan 12 rural) 61{\%} ST elevation myocardial infarction (STEMI), mean age 55 years, 83{\%} male. Recall of discharge education included knowledge of diagnosis (recall = 100{\%}), procedures (e.g., angiogram = 40{\%}), and comorbidities (e.g., hypertension = 60{\%}, diabetes = 100{\%}). In the first 30 days post-discharge, median steps per day was 2506 (standard deviation (SD) ± 369) steps (one participant completed 10,000 steps), 62{\%} visited a general practitioner (GP) 16{\%} attended cardiac rehabilitation, 16{\%} visited a cardiologist, 72{\%} a pharmacist, 27{\%} visited the emergency department for cardiac event, and 61{\%} a pathology service (blood tests). Adherence to using the activity tracking apps was 87{\%}. Managing Big Data from the GPS and physical activity tracking apps was a challenge with over 300,000 lines of raw data cleaned to 90,000 data points for analysis. This study was an example of the application of objective data from the real world to help understand post-ACS discharge patient activity. Rates of access to services in the first 30 days continue to be of concern.",
keywords = "acute coronary syndrome, 30-days, discharge education, physical activity, healthcare utilization",
author = "{Health Translation SA Cardiac Rehabilitation Group} and Clark, {Robyn A} and Jonathon Foote and Versace, {Vincent L} and Alex Brown and Mark Daniel and Coffee, {Neil T} and Marin, {Tania S} and Constance Kourbelis and Margaret Arstall and Anand Ganesan and Ralph Maddison and Janet Kelly and Tracey Barry and Wendy Keech and Nicholls, {Stephen J}",
year = "2019",
month = "4",
day = "19",
doi = "10.3390/medsci7040061",
language = "English",
volume = "7",
journal = "Medical sciences (Basel, Switzerland)",
issn = "2076-3271",
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T1 - The Keeping on Track Study

T2 - Medical sciences (Basel, Switzerland)

AU - Health Translation SA Cardiac Rehabilitation Group

AU - Clark, Robyn A

AU - Foote, Jonathon

AU - Versace, Vincent L

AU - Brown, Alex

AU - Daniel, Mark

AU - Coffee, Neil T

AU - Marin, Tania S

AU - Kourbelis, Constance

AU - Arstall, Margaret

AU - Ganesan, Anand

AU - Maddison, Ralph

AU - Kelly, Janet

AU - Barry, Tracey

AU - Keech, Wendy

AU - Nicholls, Stephen J

PY - 2019/4/19

Y1 - 2019/4/19

N2 - The aim of this study was to investigate the impact of bedside discharge education on activity levels and healthcare utilization for patients with acute coronary syndrome (ACS) in the first 30 days post-discharge. Knowledge recall and objective activity and location data were collected by global positioning systems (GPS). Participants were asked to carry the tracking applications (apps) for 30⁻90 days. Eighteen participants were recruited (6 metropolitan 12 rural) 61% ST elevation myocardial infarction (STEMI), mean age 55 years, 83% male. Recall of discharge education included knowledge of diagnosis (recall = 100%), procedures (e.g., angiogram = 40%), and comorbidities (e.g., hypertension = 60%, diabetes = 100%). In the first 30 days post-discharge, median steps per day was 2506 (standard deviation (SD) ± 369) steps (one participant completed 10,000 steps), 62% visited a general practitioner (GP) 16% attended cardiac rehabilitation, 16% visited a cardiologist, 72% a pharmacist, 27% visited the emergency department for cardiac event, and 61% a pathology service (blood tests). Adherence to using the activity tracking apps was 87%. Managing Big Data from the GPS and physical activity tracking apps was a challenge with over 300,000 lines of raw data cleaned to 90,000 data points for analysis. This study was an example of the application of objective data from the real world to help understand post-ACS discharge patient activity. Rates of access to services in the first 30 days continue to be of concern.

AB - The aim of this study was to investigate the impact of bedside discharge education on activity levels and healthcare utilization for patients with acute coronary syndrome (ACS) in the first 30 days post-discharge. Knowledge recall and objective activity and location data were collected by global positioning systems (GPS). Participants were asked to carry the tracking applications (apps) for 30⁻90 days. Eighteen participants were recruited (6 metropolitan 12 rural) 61% ST elevation myocardial infarction (STEMI), mean age 55 years, 83% male. Recall of discharge education included knowledge of diagnosis (recall = 100%), procedures (e.g., angiogram = 40%), and comorbidities (e.g., hypertension = 60%, diabetes = 100%). In the first 30 days post-discharge, median steps per day was 2506 (standard deviation (SD) ± 369) steps (one participant completed 10,000 steps), 62% visited a general practitioner (GP) 16% attended cardiac rehabilitation, 16% visited a cardiologist, 72% a pharmacist, 27% visited the emergency department for cardiac event, and 61% a pathology service (blood tests). Adherence to using the activity tracking apps was 87%. Managing Big Data from the GPS and physical activity tracking apps was a challenge with over 300,000 lines of raw data cleaned to 90,000 data points for analysis. This study was an example of the application of objective data from the real world to help understand post-ACS discharge patient activity. Rates of access to services in the first 30 days continue to be of concern.

KW - acute coronary syndrome

KW - 30-days

KW - discharge education

KW - physical activity

KW - healthcare utilization

U2 - 10.3390/medsci7040061

DO - 10.3390/medsci7040061

M3 - Article

VL - 7

JO - Medical sciences (Basel, Switzerland)

JF - Medical sciences (Basel, Switzerland)

SN - 2076-3271

IS - 4

ER -