Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2015 Jun 23;5(6):e006256.
doi: 10.1136/bmjopen-2014-006256.

Evaluation of the Methods and Management of Acute Coronary Events (EMMACE)-3: protocol for a longitudinal study

Collaborators, Affiliations
Observational Study

Evaluation of the Methods and Management of Acute Coronary Events (EMMACE)-3: protocol for a longitudinal study

O A Alabas et al. BMJ Open. .

Abstract

Introduction: Patients with cardiovascular disease are living longer and are more frequently accessing healthcare resources. The Evaluation of the Methods and Management of Acute Coronary Events (EMMACE)-3 national study is designed to improve understanding of the effect of quality of care on health-related outcomes for patients hospitalised with acute coronary syndrome (ACS).

Methods and analysis: EMMACE-3 is a longitudinal study of 5556 patients hospitalised with an ACS in England. The study collects repeated measures of health-related quality of life, information about medications and patient adherence profiles, a survey of hospital facilities, and morbidity and mortality data from linkages to multiple electronic health records. Together with EMMACE-3X and EMMACE-4, EMMACE-3 will assimilate detailed information for about 13 000 patients across more than 60 hospitals in England.

Ethics and dissemination: EMMACE-3 was given a favourable ethical opinion by Leeds (West) Research Ethics committee (REC reference: 10/H131374). On successful application, study data will be shared with academic collaborators. The findings from EMMACE-3 will be disseminated through peer-reviewed publications, at scientific conferences, the media, and through patient and public involvement.

Study registration number: ClinicalTrials.gov Identifier: NCT01808027. Information about the study is also available at EMMACE.org.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Regional map of English National Health Service hospitals and patients participating in Evaluation of the Methods and Management of Acute Coronary Events (EMMACE)-3.
Figure 2
Figure 2
Evaluation of the Methods and Management of Acute Coronary Events (EMMACE)-3 cumulative recruitment of participants.
Figure 3
Figure 3
Flow chart of the EMMACE studies. MINAP, Myocardial Ischaemia National Audit Project; NHS, National Service Framework; HES, Hospital Episode Statistics; EQ-5D, EuroQol 5-dimension; EMMACE, Evaluation of the Methods and Management of Acute Coronary Events.
Figure 4
Figure 4
Flow diagram showing number of EMMACE-3 participants at each phase of the study (ACS, acute coronary syndrome; EMMACE, Evaluation of the Methods and Management of Acute Coronary Events).

References

    1. Smolina K, Wright FL, Rayner M et al. . Determinants of the decline in mortality from acute myocardial infarction in England between 2002 and 2010: linked national database study. BMJ 2012;344:d8059. - PMC - PubMed
    1. Fox KA, Anderson FA Jr, Dabbous OH et al. . Intervention in acute coronary syndromes: do patients undergo intervention on the basis of their risk characteristics? The Global Registry of Acute Coronary Events (GRACE). Heart 2007;93:177–82. - PMC - PubMed
    1. Gale CP, Cattle BA, Baxter PD et al. . Age-dependent inequalities in improvements in mortality occur early after acute myocardial infarction in 478,242 patients in the Myocardial Ischaemia National Audit Project (MINAP) registry. Int J Cardiol 2013;168:881–7. - PubMed
    1. Gale CP, Cattle BA, Woolston A et al. . Resolving inequalities in care? Reduced mortality in the elderly after acute coronary syndromes. The Myocardial Ischaemia National Audit Project 2003–2010. Eur Heart J 2012b;33:630–9. - PubMed
    1. Nichols M, Townsend N, Scarborough P et al. . Cardiovascular disease in Europe: epidemiological update. Eur Heart J 2013;34:3028–34. - PubMed

Publication types

Associated data