Cardio-Cerebrovascular Co-Prevention and Co-Management Based on Internet+

• Status: Not yet recruiting
• Trial end date: 2023-12-31
• Target enrollment: 0
• Participant gender: All

Summary

Coronary heart disease and stroke are belong to the atherosclerotic vascular disease (ASCVD). When both occur at the same time, the mortality rate is 19%-37%. Especially when ischemic stroke occurs in patients with acute myocardial infarction, the mortality rate is as high as 36.5%. At present, there is a lack of co-management for the cardio-cerebrovascular diseases. Some studies have explored the disease management based on Internet +, but there are still challenges in personalized management and improving adherence. Based on Internet + 's "co-prevention and co-management" model of cardio-cerebrovascular diseases, this study plans to provide personalized intervention by smartphone App to improve the patients' self-management, in order to reduce the incidence and mortality of atherosclerotic cardio-cerebrovascular events in the high-risk population of cardio-cerebrovascular diseases.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Nanfang Hospital of Southern Medical University
• Collaborator: Nanhai Hospital, Southern Medical University

Criteria

Inclusion Criteria:

Family physician teams:

1. The number of residents served is more than 30,000;

2. The proportion of high-risk population of cardio-cerebrovascular diseases is more than 8%;

3. manage the health records of residents;

4. have a health examination for the residents once a year;

5. Family doctors have smartphones.

Participants:

1. Aged ≥18 years;

2. Meet any of the following indicators:

1) LDL-C>4.9mmol/L or TC>7.2mmol/L; 2) Diabetic patients (age >40 years old):

1.8mmol/L≤LDL-C<4.9mmol/L（or）3.1mmol/L≤TC<7.2mmol/L; 3) The predicted risks measured by China-PAR model of ≥10%; 4) Patients with predicted risks measured by China-PAR model of ≥5% and <10%, and meet with two or more risk factors as following:

1. Systolic Blood Pressure ≥ 160mmHg or Diastolic Blood Pressure ≥ 100mmHg,

2. BMI≥28kg/m2,

3. Non- HDL-C≥5.2mmol/L,

4. Smoking,

5. HDL-C<1.0mmol/L. (3) Local permanent residents (more than 5 years); (4) No severe physical disability, clear consciousness and normal communication; (5) The participants in the intervention group or their families have smartphones; (6) Disease and death are under the management of the local health department; (7) Sign the informed consent form voluntarily.

Exclusion Criteria:

Family physician teams:

1. The establishment of residents' health records is incomplete;

2. The main population served are temporary residents and floating population.

Participants:

1. Temporary residents and floating population;

2. Those who have serious health conditions and are unable to participate in this study;

3. Those who are unwilling to accept the follow-up inspection;

4. According to the judgment of the researchers, it is not suitable to participate.