Digital nudges in medical records may boost heart failure care
NCT ID NCT06248658
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This completed study looked at whether clinical decision support systems (CDSS) built into electronic health records help doctors better follow guidelines for chronic heart failure. Researchers analyzed data from over 66,000 patients in Russia, checking if the system increased use of key diagnostic tests like BNP/NT-proBNP and echocardiography. The goal was to see if digital reminders can improve detection and management of heart failure in routine care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could show that digital reminders in medical records help doctors follow guidelines for heart failure diagnosis and treatment.
- What could go wrong
- This is an observational study, not a controlled experiment, so it cannot prove cause and effect. Results may not apply to other healthcare systems or settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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66,166 people
The number who actually took part.
- Started
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Oct 2023
- Finished
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May 2025
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Currently, all regional health clinics use the regional HIS to collect clinical data on patients of very high-risk groups based on the data of electronic health records. It is expected that the current study will include patients being in follow-up care, with a history of cerebrovascular accident, myocardial infarction and coronary artery bypass grafting, Arterial angioplasty with stenting and catheter ablation for CVD, within 2 years after the diagnosis date
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Any cardiac diagnosis ICD-10 codes I00-I99 2. Age: ≥18 years 3. CHF stage 2a and higher and/or FC II and higher 4. The data export for analysis is carried out through obtaining the structured electronic healthcare records (SHCR) from the Vertically Integrated Medical Information System "Cardiovascular Diseases" (VIMIS CVD). Such export implies obtaining documents of patients with IHD, ACS, CVA, AF and CHF, occlusion and stenosis of carotid artery, infective endocarditis and cardiac device-related endocarditis, which are sent by the region to VIMIS CVD. Exclusion Criteria: 1\. Age: \<18 years
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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National Medical Research Center for Cardiology, Ministry of Health of Russian Federation
Moscow, Russia
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Other studies related to the condition(s) this trial covers.