Computerized Decision Support for Pulmonary Hypertension
(CTEPH-DETECT Trial)

Recruiting in Palo Alto (17 mi)

Overseen byGregory Piazza, MD, MS

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Brigham and Women's Hospital

No Placebo Group

Trial Summary

What is the purpose of this trial?

To address the knowledge gap that exists among providers resulting in underdiagnosis of chronic thromboembolic pulmonary hypertension (CTEPH), the investigators have devised this 400-patient single-center Quality Improvement Initiative in the form of a randomized controlled trial of an EPIC Best Practice Advisory (BPA) on-screen alert versus no notification to increase echocardiographic screening for CTEPH and the diagnosis of CTEPH in patients with prior pulmonary embolism (PE) and symptoms/signs suggestive of pulmonary hypertension or recent pulmonary testing suggesting unexplained respiratory symptoms at 3 months. Aim #1: To determine the impact of a Best Practice Advisory (BPA), using the EPIC Electronic Health Record computerized decision support (CDS) software, on echocardiographic screening for CTEPH in patient with prior PE and symptoms/signs suggestive of pulmonary hypertension or recent pulmonary testing suggesting unexplained respiratory symptoms. Aim #2: To determine the impact of an EPIC BPA on the diagnosis of CTEPH in patient with prior PE and symptoms/signs suggestive of pulmonary hypertension or recent pulmonary testing suggesting unexplained respiratory symptoms.

Research Team

Gregory Piazza, MD, MS

Principal Investigator

BWH

Eligibility Criteria

This trial is for adults who've had a pulmonary embolism, are experiencing symptoms like fatigue or chest pain, or have unexplained respiratory issues on tests. They haven't had an echocardiogram in the last 6 months and are seen at specific clinics.

Inclusion Criteria

You have not had a heart ultrasound in the last 6 months.

I have symptoms or test results suggesting high blood pressure in the lungs.

I am 18 years old or older.

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Treatment Details

Interventions

On-screen computerized decision support alert (Behavioral)

Trial OverviewThe study is testing if a computer alert for doctors increases screening and diagnosis of chronic thromboembolic pulmonary hypertension (CTEPH) in patients with past pulmonary embolisms showing certain symptoms.

Participant Groups

2Treatment groups

Experimental Treatment

Active Control

Group I: AlertExperimental Treatment1 Intervention

On-screen computerized decision support alert during the outpatient clinical encounter that notifies the provider that the patient should be screened for CTEPH

Group II: No AlertActive Control1 Intervention

No provider notification