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Cost-effectiveness of two strategies to implement the NVOG guidelines on hypertension in pregnancy: An innovative strategy including a computerised decision support system compared to a common strategy of professional audit and feedback


- candidate number3626
- NTR NumberNTR1387
- ISRCTNISRCTN wordt niet meer aangevraagd
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR15-jul-2008
- Secondary IDs222 170883003
- Public TitleCost-effectiveness of two strategies to implement the NVOG guidelines on hypertension in pregnancy: An innovative strategy including a computerised decision support system compared to a common strategy of professional audit and feedback
- Scientific TitleCost-effectiveness of two strategies to implement the NVOG guidelines on hypertension in pregnancy: An innovative strategy including a computerised decision support system compared to a common strategy of professional audit and feedback
- ACRONYMBIG (BOS on implemaentation of guidelines)
- hypothesisN/A
- Healt Condition(s) or Problem(s) studiedPregnancy, Pregnancy induced hypertension, Pre-eclampsia, Implementation, Guidelines, Cost-effectiveness , Computerized decision support
- Inclusion criteria1. Pregnant women who develop severe hypertension or preeclampsia
- Exclusion criteria1. Refusal to participate
2. Diagnosis of lethal fetal congenital abnormalities
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-mrt-2009
- planned closingdate1-mrt-2011
- Target number of participants400
- InterventionsImplementation strategy, BOS (beslissings ondersteunend systeem) versus audit and feedback.
- Primary outcomeThe primary outcome measure for the evaluation of the effectiveness of both strategies is a combined rate of major maternal complications (maternal death, organ specific complications of hypertension, HELLP syndrome, placental abruption)
- Secondary outcome- Guidelines' adherence rates
- Fetal death rates
- Caesarean delivery rates
- Rates of neonatal mortality and morbidity
- Experiences with the implementaion strategies. (participation etc)
- Timepoints- 8 months preparation
- 24 months implementation study and follow-up
- 4 months analysis and report
- Trial web siteN/A
- statusplanned
- CONTACT FOR PUBLIC QUERIES S.H.E. Luitjes
- CONTACT for SCIENTIFIC QUERIES S.H.E. Luitjes
- Sponsor/Initiator VU University Medical Center, Department of Obstetrics and Gynaecology
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryThe objective of this study is to assess the cost-effectiveness of an innovative implementation strategy of the NVOG guidelines of hypertension including a computerised decision support system compared to a common strategy of professional audit and feedback
- Main changes (audit trail)
- RECORD15-jul-2008 - 4-aug-2008


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