Heart failure & cardiomyopathies

Rationale, Design and Baseline Characteristics of a Randomized Controlled Trial of a Cardiovascular Quality Improvement Strategy in India: The Collaborative Quality ImProvement (C-QIP) Trial

Am Heart JPublished Randomised controlled trial

Study context

Population
Patients with cardiovascular disease (CVD) (ischemic heart disease, ischemic stroke or HF) attending outpatient CVD clinics in India, recruited September 2022 to September 2023
Participants
410 patients · 4 hospitals
Comparison
Multicomponent C-QIP intervention vs usual care
Primary endpoint
Co-primary: implementation feasibility, fidelity (dose delivered and received), acceptability, adoption and appropriateness, at patient, provider and clinic site level
Follow-up
At least 12 months
Methodological detailsrationale, design and baseline characteristics, open, clinic-based, multicentre (4 hospitals), Process and economic evaluations planned, Secondary outcomes: Guideline directed medical therapy (GDMT) prescription (provider level); adherence, change in mean blood pressure (BP) and LDL-C (patient level), Intervention developed through formative research guided by Consolidated Framework for Implementation Research (CFIR)
  • Rationale, design and baseline characteristics
  • Open
  • Clinic-based
  • Multicentre (4 hospitals)
  • Process and economic evaluations planned
  • Secondary outcomes: GDMT prescription (provider level); adherence, change in mean BP and LDL-C (patient level)
  • Intervention developed through formative research guided by CFIR

Primary result

As reported in the abstract

Baseline characteristics · baseline
Age, mean (SD), years
57.5 (11.7)
Males
73.0%
Self-reported hypertension
48.5%
Self-reported diabetes
41.5%
BP, mean (SD), mm Hg
127.9 (18.2) /76.2 (11.6)
LDL-C, mean (SD), mg/dl
80.3 (37.3)
HbA1c, mean (SD)
6.8% (1.6%)
GDMT, ischemic heart disease
62.4%
GDMT, ischemic stroke
48.6%
GDMT, HF
36.1%

Original publication

Rationale, Design and Baseline Characteristics of a Randomized Controlled Trial of a Cardiovascular Quality Improvement Strategy in India: The C-QIP Trial. Am Heart J. Published 20 July 2024. doi:10.1016/j.ahj.2024.07.008

Summarised from the published abstract; every number is checked against it

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