[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100621940":3},{"organization":4,"armGroups":7,"interventions":15,"overallOfficials":21,"centralContacts":26,"locations":21,"responsibleParty":32,"collaborators":34,"id":55,"slug":56,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":61,"eligibilityCriteria":62,"healthyVolunteers":57,"sex":63,"minAge":64,"maxAge":21,"enrollmentInfo":65,"targetDuration":21,"studyType":68,"phases":69,"briefSummary":71,"conditions":72,"keywords":74,"overallStatus":78,"whyStopped":21,"lastUpdateSubmitDate":79,"lastUpdatePostDateStruct":80,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":87,"locationsCount":21},{"fullName":5,"class":6},"China National Center for Cardiovascular Diseases","OTHER_GOV",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Improving the utilization rate of arterial grafts for coronary artery bypass grafting","OTHER","In this stepped-wedge cluster randomized trial (SW-CRT) with a self-controlled design, hospitals were categorized into two groups according to their internal mammary artery graft usage rates, thereby forming two SW-CRT. Healthcare professionals at these hospitals will receive tailored interventions. The effectiveness of each intervention is assessed by comparing the usage rates before and after implementation within each SW-CRT.",[13,14],"Behavioral: Interventions for healthcare professionals in hospitals with low usage rates","Behavioral: Interventions for healthcare professionals in hospitals with high usage rates",[16,22],{"type":17,"name":18,"description":19,"armGroupLabels":20,"otherNames":21},"BEHAVIORAL","Interventions for healthcare professionals in hospitals with low usage rates","Hospitals with low usage rates aim to improve internal mammary artery graft utilization through interventions including education, theoretical training, technical training, conference exchanges, and regular feedback on quality monitoring results.",[9],null,{"type":17,"name":23,"description":24,"armGroupLabels":25,"otherNames":21},"Interventions for healthcare professionals in hospitals with high usage rates","Hospitals with already high usage rates focus on increasing multi-arterial graft usage rates through similar intervention methods such as education, theoretical training, technical training, conference exchanges focus on multi-arterial graft use. The usage rates of multi-arterial graft for each hospital will be regular feed backed.",[9],[27],{"name":28,"role":29,"phone":30,"phoneExt":21,"email":31},"Zhe Zheng, MD, PhD","CONTACT","+86 88396051","zhengzhe@fuwai.com",{"type":33,"investigatorFullName":21,"investigatorTitle":21,"investigatorAffiliation":21,"oldNameTitle":21,"oldOrganization":21},"SPONSOR",[35,37,39,41,43,45,47,49,51,53],{"name":36,"class":10},"Chinese Academy of Medical Sciences, Fuwai Hospital",{"name":38,"class":6},"Shandong Provincial Hospital",{"name":40,"class":10},"The First Affiliated Hospital with Nanjing Medical University",{"name":42,"class":10},"Guangdong Provincial People's Hospital",{"name":44,"class":10},"Union Hospital, Tongji Medical College, Huazhong University of Science and Technology",{"name":46,"class":10},"West China Hospital",{"name":48,"class":10},"First Affiliated Hospital of Wenzhou Medical University",{"name":50,"class":10},"Ruijin Hospital",{"name":52,"class":10},"The General Hospital of Northern Theater Command",{"name":54,"class":10},"Central China Fuwai Hospital of Zhengzhou University","100621940","improving-the-quality-of-coronary-artery-bypass-grafting-100621940",false,"NCT07377149","Improving the Quality of Coronary Artery Bypass Grafting","Quality Improvement Intervention on Utilization of Arterial Grafts for Coronary Artery Bypass Grafting","CABG Quality","Patients whose data used to monitor the quality\n\nInclusion Criteria:\n\nAged ≥ 18 years old； Indicated for CABG and undergoing CABG.\n\nExclusion Criteria:\n\nHistory of prior CABG; Concurrent other cardiac surgeries on the day of CABG; Malignant tumor or life expectancy \\\u003C 1 year;\n\n* 50% stenosis of left subclavian artery; Pregnant women; Individuals diagnosed with mental illness or cognitive impairment (International Classification of Diseases-10 codes F01-F99); Patients considered by the investigator to have other factors unsuitable for inclusion.","ALL","18 Years",{"count":66,"type":67},8700,"ESTIMATED","INTERVENTIONAL",[70],"NA","This is a healthcare quality improvement study focused on increasing the utilization of arterial grafts in isolated coronary artery bypass grafting (CABG). Evidence indicates that arterial grafts, compared with venous grafts, provide superior long-term patency, which are recommended to use by the clinical practice guidelines.\n\nIn hospitals where the use of the internal mammary artery as a graft is relatively low(\\\u003C90%) among CABG patients, multiple interventions will be implemented to improve its adoption rate.\n\nIn hospitals where internal mammary artery graft utilization is already high(≥90%), various interventions will be introduced to promote the use of multiple arterial grafts (defined as the use of two or more arterial conduits).\n\nThe study targets healthcare professionals as the primary subjects of intervention, with no direct interventions applied to patients during the study period. Changes in the internal mammary artery graft utilization rate and the multiple arterial graft utilization rate before and after the intervention will serve as the primary endpoints for evaluating intervention effectiveness in the two types of hospitals, respectively.",[73],"Coronary Artery Bypass Grafting (CABG)",[75,76,77],"coronary artery bypass grafting","quality improvement","arterial graft","NOT_YET_RECRUITING","2026-01-22",{"date":81,"type":82},"2026-01-29","ACTUAL",{"date":84,"type":67},"2026-03-15",{"date":86,"type":67},"2029-07",{"name":5,"class":6}]