Heart failure & cardiomyopathies
Electronic health record alerts for management of heart failure with reduced ejection fraction in hospitalized patients: the PROMPT-AHF trial
Primary resultResult — go to the resultAdjusted relative risk 0.95 CI 0.81–1.12Authors' conclusion
A real-time, targeted, and tailored EHR-based alert system for AHF did not lead to a higher number of overall GDMT prescriptions at discharge.
Study context
- Population
- Patients hospitalized for acute heart failure, automatically enrolled 48 h after admission
- Participants
- 1,012 patients
- Comparison
- Electronic health record (EHR) alert vs no alert
- Primary endpoint
- Increase in the number of GDMT prescriptions at discharge
- Follow-up
- Discharge
Methodological detailspragmatic, multicentre, EHR-based
- Pragmatic
- Multicentre
- EHR-based
Primary result
As reported in the abstract
Adjusted relative risk
0.95
CI 0.81–1.12
P = 0.99
By group
Alert vs No alert
adjusted RR 0.95 (CI 0.81–1.12); P = 0.99
Further findings
| Outcome | Adjusted RR (CI) | P value | |
|---|---|---|---|
| Increase in MRA | 1.54 (1.10–2.16) | P = 0.01 | |
| 0.512Adjusted relative risk (log scale) |
On all four pillars of guideline-directed medical therapies (GDMT) at discharge
- Patients on all four GDMT pillars
- 11.2%
Original publication
Electronic health record alerts for management of heart failure with reduced ejection fraction in hospitalized patients: the PROMPT-AHF trial. Eur Heart J. Published 31 August 2023. doi:10.
Summarised from the published abstract; every number is checked against it