Transitions, Risks, and Actions in Coronary Events--Center for Outcomes Research and Education (TRACE-CORE): Design and Rationale
Biochemistry & Molecular Pharmacology
Department of Quantitative Health Sciences; Meyers Primary Care Institute; Department of Medicine, Division of Geriatric Medicine; Department of Medicine, Division of Cardiovascular Medicine
Cardiovascular Diseases | Health Services Research | Life Sciences | Medicine and Health Sciences
Background: Cardiovascular disease continues to cause significant morbidity, mortality, and impaired quality of life, with unrealized health gains from the underuse of available evidence. The Transitions, Risks, and Actions in Coronary Events Center for Outcomes Research and Education (TRACE-CORE) aims to advance the science of acute coronary syndromes by examining the determinants and outcomes of the quality of transition from hospital to community and by quantifying the impact of potentially modifiable characteristics associated with decreased quality of life, rehospitalization, and mortality.
Methods and Results: TRACE-CORE comprises a longitudinal multiracial cohort of patients hospitalized with acute coronary syndromes, 2 research projects, and development of a nucleus of early stage investigators. We are currently enrolling 2500 adults hospitalized for acute coronary syndromes at 6 hospitals in the northeastern and southeastern United States. We will follow these patients for 24 months after hospitalization through medical record abstraction and 5 patient interviews focusing on quality of life, cardiac events, rehospitalizations, mortality, and medical, behavioral, and psychosocial characteristics. The Transitions Project studies determinants of and disparities in outcomes of the quality of patients' transition from hospital to community. Focusing on potentially modifiable factors, the Action Scores Project will develop and validate action scores to predict recurrent cardiac events, death, and quality of life, describe longitudinal variation in these scores, and develop a dashboard for patient and provider action on the basis of these scores.
Conclusions: In TRACE-CORE, sound methodologic principles of observational studies converge with outcomes and effectiveness research approaches. We expect that our data, research infrastructure, and research projects will inform the development of novel secondary prevention approaches and underpin the careers of cardiovascular outcomes researchers.
DOI of Published Version
Waring ME, McManus RH, Saczynski JS, Anatchkova MD, McManus DD, Devereaux RS, Goldberg RJ, Allison JJ, Kiefe CI; for the TRACE-CORE Investigators. Transitions, Risks, and Actions in Coronary Events--Center for Outcomes Research and Education (TRACE-CORE): Design and Rationale. Circ Cardiovasc Qual Outcomes. 2012 Sep 1;5(5):e44-e50. doi:10.1161/CIRCOUTCOMES.112.965418
Circulation. Cardiosvascular Quality and Outcomes
Waring, Molly E.; McManus, Richard H.; Saczynski, Jane S.; Anatchkova, Milena D.; McManus, David D.; Devereaux, Randolph; Goldberg, Robert J.; Allison, Jeroan J.; and Kiefe, Catarina I., "Transitions, Risks, and Actions in Coronary Events--Center for Outcomes Research and Education (TRACE-CORE): Design and Rationale" (2012). GSBS Student Publications. 1796.