Depression Care for Hospitalized Coronary Heart Disease Patients: Prospective Cohort Study (CDCare)

This study is currently recruiting participants.
Verified February 2013 by Charite University, Berlin, Germany
Sponsor:
Collaborator:
University Hospital Muenster
Information provided by (Responsible Party):
Jacqueline Müller-Nordhorn, Charite University, Berlin, Germany
ClinicalTrials.gov Identifier:
NCT01626027
First received: June 20, 2012
Last updated: February 13, 2013
Last verified: February 2013

June 20, 2012
February 13, 2013
June 2012
December 2014   (final data collection date for primary outcome measure)
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Complete list of historical versions of study NCT01626027 on ClinicalTrials.gov Archive Site
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Depression Care for Hospitalized Coronary Heart Disease Patients: Prospective Cohort Study
Depression Care for Hospitalized Coronary Heart Disease Patients: Bridging the Gap Between Guidelines and Reality

The aims of this prospective, observational study are to assess the current use of depression care in Coronary Heart Disease (CHD) patients, and to provide estimates for the resources needed to implement guideline-oriented depression health care acceptable to CHD patients with comorbid depression.

In patients with established CHD, unipolar depression is up to three times more prevalent than in the general population and increases the risk for coronary events and mortality, higher health care consumption and decreased quality of life. Most hospitals in Germany have a unique infrastructure of psychiatric, psychosomatic and psychosocial services for CHD patients (psychiatric/psychosomatic consultation liaison services and a wide network of inpatient or outpatient cardiac rehabilitation centers). However, as of today, little is known about the current use and acceptability of depression health care from the perspective of CHD patients.

This project has two main aims:

  1. to assess the current use of depression care in CHD patients who are hospitalized or receive ambulatory care at a cardiology clinic
  2. to provide estimates for the resources needed to implement guideline-oriented depression health care acceptable to CHD patients with comorbid depression.

Specifically, the investigators will assess

  • rates of and satisfaction with depression health care use in hospitalized CHD patients within one year after hospitalization
  • perceived need for depression care and patient preferences for different types, settings and providers of these services
  • correlates of depression health care use and patient preferences
  • the amount of patients in need for depression health care according to existing recommendations

The secondary objective is to assess direct and indirect costs associated with depressive symptoms and depression care use across 1 year (as indicated by quality of life, event-free survival, productivity, and health care costs).

Observational
Observational Model: Cohort
Time Perspective: Prospective
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Non-Probability Sample

Patients with confirmed Coronary Heart Disease (CHD) hospitalized in the coronary care units of 2 University hospitals in Germany. Additionally, starting August 2012, patients with confirmed CHD who receive ambulatory care at one of the cardiology clinics will also be enrolled.

  • Coronary Heart Disease
  • Depression
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
1500
December 2014
December 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • chronic CHD (confirmed by a clinician)

Exclusion Criteria:

  • chart-documented dementia disorder
  • cognitive impairment
  • life expectancy < 1 year
  • unavailability for follow-up
  • insufficient proficiency in German or Turkish language
Both
18 Years and older
No
Contact: Jacqueline Müller-Nordhorn, MD,DPH 0049 30 450 570 ext 873 jaqcueline.mueller-nordhorn@charite.de
Contact: Nina Rieckmann, PhD 0049 30 450 570 ext 824 nina.rieckmann@charite.de
Germany
 
NCT01626027
01GY1154
No
Jacqueline Müller-Nordhorn, Charite University, Berlin, Germany
Charite University, Berlin, Germany
University Hospital Muenster
Principal Investigator: Jacqueline Müller-Nordhorn, MD, DPH Charité Universitätsmedizin
Charite University, Berlin, Germany
February 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP