PMID- 31010168 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2076-3271 (Electronic) IS - 2076-3271 (Linking) VI - 7 IP - 4 DP - 2019 Apr 19 TI - The Keeping on Track Study: Exploring the Activity Levels and Utilization of Healthcare Services of Acute Coronary Syndrome (ACS) Patients in the First 30-Days after Discharge from Hospital. LID - 10.3390/medsci7040061 [doi] LID - 61 AB - The aim of this study was to investigate the impact of bedside discharge education on activity levels and healthcare utilization for patients with acute coronary syndrome (ACS) in the first 30 days post-discharge. Knowledge recall and objective activity and location data were collected by global positioning systems (GPS). Participants were asked to carry the tracking applications (apps) for 30(-)90 days. Eighteen participants were recruited (6 metropolitan 12 rural) 61% ST elevation myocardial infarction (STEMI), mean age 55 years, 83% male. Recall of discharge education included knowledge of diagnosis (recall = 100%), procedures (e.g., angiogram = 40%), and comorbidities (e.g., hypertension = 60%, diabetes = 100%). In the first 30 days post-discharge, median steps per day was 2506 (standard deviation (SD) +/- 369) steps (one participant completed 10,000 steps), 62% visited a general practitioner (GP) 16% attended cardiac rehabilitation, 16% visited a cardiologist, 72% a pharmacist, 27% visited the emergency department for cardiac event, and 61% a pathology service (blood tests). Adherence to using the activity tracking apps was 87%. Managing Big Data from the GPS and physical activity tracking apps was a challenge with over 300,000 lines of raw data cleaned to 90,000 data points for analysis. This study was an example of the application of objective data from the real world to help understand post-ACS discharge patient activity. Rates of access to services in the first 30 days continue to be of concern. FAU - Clark, Robyn A AU - Clark RA AUID- ORCID: 0000-0002-5063-2618 AD - College of Nursing and Health Sciences, Flinders University, Adelaide 5001, Australia. robyn.clark@flinders.edu.au. FAU - Foote, Jonathon AU - Foote J AD - College of Nursing and Health Sciences, Flinders University, Adelaide 5001, Australia. jon@footeconsulting.com.au. FAU - Versace, Vincent L AU - Versace VL AUID- ORCID: 0000-0002-8514-1763 AD - Deakin University, Warnambool, Victoria 3280, Australia. vincent.versace@deakin.edu.au. FAU - Brown, Alex AU - Brown A AD - Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute, Adelaide, South Australia 5001, Australia. alex.brown@sahmri.com. FAU - Daniel, Mark AU - Daniel M AD - Centre for Research and Action in Public Health, University of Canberra, Canberra, Australian Capital Territory 2001, Australia. Mark.Daniel@canberra.edu.au. FAU - Coffee, Neil T AU - Coffee NT AD - Centre for Research and Action in Public Health, University of Canberra, Canberra, Australian Capital Territory 2001, Australia. neil.coffee@canberra.edu.au. FAU - Marin, Tania S AU - Marin TS AD - College of Nursing and Health Sciences, Flinders University, Adelaide 5001, Australia. tania.marin@flinders.edu.au. FAU - Kourbelis, Constance AU - Kourbelis C AD - College of Nursing and Health Sciences, Flinders University, Adelaide 5001, Australia. constance.kourbelis@flinders.edu.au. FAU - Arstall, Margaret AU - Arstall M AD - Department of Cardiology, Lyell McEwin Hospital, Elizabeth, South Australia 5112, Australia. Margaret.Arstall@sa.gov.au. FAU - Ganesan, Anand AU - Ganesan A AD - College of Medicine, Flinders University, Adelaide 5001, Australia. anand.ganesan@flinders.edu.au. FAU - Maddison, Ralph AU - Maddison R AD - Deakin University, Warnambool, Victoria 3280, Australia. ralph.maddison@deakin.edu.au. FAU - Kelly, Janet AU - Kelly J AD - Wardliparingga Aboriginal Research Unit, South Australian Health and Medical Research Institute, Adelaide, South Australia 5001, Australia. Janet.Kelly@sahmri.com. FAU - Barry, Tracey AU - Barry T AD - College of Nursing and Health Sciences, Flinders University, Adelaide 5001, Australia. tracey.barry@flinders.edu.au. FAU - Keech, Wendy AU - Keech W AD - Health Translation SA, South Australian Health and Medical Research Institute, Adelaide, South Australia 5001, Australia. Wendy.keech@sahmri.com. FAU - Nicholls, Stephen J AU - Nicholls SJ AD - Monash University, Clayton, Victoria 3168, Australia. stephen.nicholls@monash.edu. CN - Health Translation SA Cardiac Rehabilitation Group LA - eng PT - Journal Article DEP - 20190419 PL - Switzerland TA - Med Sci (Basel) JT - Medical sciences (Basel, Switzerland) JID - 101629322 PMC - PMC6524056 OTO - NOTNLM OT - 30-days OT - acute coronary syndrome OT - discharge education OT - healthcare utilization OT - physical activity COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results". EDAT- 2019/04/24 06:00 MHDA- 2019/04/24 06:01 PMCR- 2019/04/19 CRDT- 2019/04/24 06:00 PHST- 2019/02/27 00:00 [received] PHST- 2019/04/07 00:00 [revised] PHST- 2019/04/10 00:00 [accepted] PHST- 2019/04/24 06:00 [entrez] PHST- 2019/04/24 06:00 [pubmed] PHST- 2019/04/24 06:01 [medline] PHST- 2019/04/19 00:00 [pmc-release] AID - medsci7040061 [pii] AID - medsci-07-00061 [pii] AID - 10.3390/medsci7040061 [doi] PST - epublish SO - Med Sci (Basel). 2019 Apr 19;7(4):61. doi: 10.3390/medsci7040061.