The present study is trying to find out whether artificial intelligence assisted follow-up strategy will improve secondary prevention in CABG patients. In addition, we will test whether rural patients may have more benefits under the new follow-up strategy based on the artificial intelligence device compared with urban patients.
There are a large population of coronary heart disease patients in China, which needs more attention to optimize the secondary prevention and improve the prognosis. Secondary prevention has been showing the effects of improving symptoms, preventing disease progression, improving prognosis, and reducing mortality in patients received coronary artery bypass grafting (CABG) surgery. In this study, we are trying to evaluate the effectiveness of artificial intelligence (AI) assisted follow-up strategy on secondary prevention for patients received CABG surgery. And we are trying to find out whether there is difference in secondary prevention of coronary heart disease between urban and rural patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
QUADRUPLE
Enrollment
200
We will use a new portable artificial intelligence assisted device to monitor the patients' postoperative heart rate and sleep quality, guiding the following follow-up process
Cardiovascular Institute and Fuwai Hospital, CAMS&PUMC
Beijing, Beijing Municipality, China
Heart rate
The average heart rate during the first 35 days postoperatively
Time frame: 35 days
Duration of different sleep stages
It includes duration of falling asleep, light sleep, and deep sleep period
Time frame: 35 days
Average Pulse oxygen saturation
The average pulse oxygen saturation during the sleep will be evaluated by the sleep monitor device automatically.
Time frame: 35 days
Minimum pulse oxygen saturation
The pulse oxygen saturation during the sleep will be recorded by the sleep monitor device and the minimum pulse oxygen saturation will be analyzed.
Time frame: 35 days
Pain score
It will be evaluated with the visual analogue scale from 0 to 10. Zero is the lowest level of pain and 10 is the highest level of pain.
Time frame: 35 days
Medication compliance
It will be evaluated with Morisky Medication Adherence Scale (MMAS-4). The patients will receive four questions, which are answered by Yes or No ((Yes=0 and No=1) through the scoring system. Zero is the lowest level of medication adherence and 4 is the highest level of medication adherence.
Time frame: 35 days
Re-admission rate
It is defined as re-admission between discharge to 35 days after surgery.
Time frame: 35 days
All-cause mortality
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refers to the incidence of death from the day of surgery to the end of the trial, regardless of the cause.
Time frame: 35 days
Total cost of medical expenses
It refers to the total medical expenses for CABG surgery and the following follow-up process.
Time frame: 35 days