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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
- Source :
- Medical Sciences, Volume 7, Issue 4, Medical Sciences, Vol 7, Iss 4, p 61 (2019)
- Publication Year :
- 2019
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2019.
-
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.
- Subjects :
- Acute coronary syndrome
medicine.medical_specialty
medicine.medical_treatment
Pharmacist
Physical activity
lcsh:Medicine
physical activity
030204 cardiovascular system & hematology
Article
acute coronary syndrome
03 medical and health sciences
0302 clinical medicine
Diabetes mellitus
Health care
medicine
030212 general & internal medicine
30-days
Rehabilitation
business.industry
lcsh:R
healthcare utilization
Emergency department
medicine.disease
discharge education
Healthcare utilization
Emergency medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 20763271
- Database :
- OpenAIRE
- Journal :
- Medical Sciences
- Accession number :
- edsair.doi.dedup.....9575d01bcd7b3878951969fc730d2a1b
- Full Text :
- https://doi.org/10.3390/medsci7040061