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

Clark, Robyn A, Foote, Jonathon, Versace, Vincent L, Brown, Alex, Daniel, Mark, Coffee, Neil T, Marin, Tania S, Kourbelis, Constance, Arstall, Margaret, Ganesan, Anand, Maddison, Ralph, Kelly, Janet, Barry, Tracey, Keech, Wendy, Nicholls, Stephen J and Health Translation SA Cardiac Rehabilitation Group 2019, 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, Medical sciences, vol. 7, no. 4, pp. 1-18, doi: 10.3390/medsci7040061.

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Title 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
Author(s) Clark, Robyn A
Foote, Jonathon
Versace, Vincent LORCID iD for Versace, Vincent L orcid.org/0000-0002-8514-1763
Brown, Alex
Daniel, Mark
Coffee, Neil T
Marin, Tania S
Kourbelis, Constance
Arstall, Margaret
Ganesan, Anand
Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Kelly, Janet
Barry, Tracey
Keech, Wendy
Nicholls, Stephen J
Health Translation SA Cardiac Rehabilitation Group
Journal name Medical sciences
Volume number 7
Issue number 4
Article ID 61
Start page 1
End page 18
Total pages 18
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2019-04-19
ISSN 2076-3271
Keyword(s) 30-days
acute coronary syndrome
discharge education
healthcare utilization
physical activity
Summary 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.
Language eng
DOI 10.3390/medsci7040061
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, the authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30121212

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