title: The Log book for the secondary prevention of coronary artery disease: A pilot study.
abstract: BACKGROUND
  In secondary prevention (SP) of coronary artery disease (CAD), in particular after an acute myocardial infarction (MI), a better knowledge and self-management by the patient may have various supports. The Log book (LB) for CAD patients in Côte d'Or, was created in 2010 by a multidisciplinary team of healthcare professionals of Côte d'Or, from a regional care network. This pilot study evaluated LB as novel support for SP after acute MI.
  
  
  METHODS
  A prospective study on 183 patients hospitalised for an acute MI in the region of Côte d'Or from 1st May to 30th October 2010. Patients were randomized in 91 patients who received an LB at the time of their hospitalisation (LB+ group), and 92 patients who were not given an LB (LB- group). The follow up (FU) was performed at 4 months and 1 year.
  
  
  RESULTS
  Baseline characteristics were similar in the 2 groups, except for smoking, which was more frequent in the LB-group than in the LB+ group. At FU, LB was usually well accepted by both patients and their general practitioners (GP). At 4 months FU, the patients LB+ were more prone to see their general practitioners than patients LB- (100% vs 85% in the LB- group, P=0.007). Moreover, in LB+ group, there was a trend towards a more frequent physical activity, including exercise bike (P=0.009) and an increase in HDL-cholesterol (HDL-c) (P=0.165). At 1 year FU, body mass index from LB+ was more reduced than in patients LB- (P=0.029). Finally, there was a trend towards lower morbi-mortality (hospitalisation for cardiovascular cause or death) in the LB+ group than in the LB- group (11 vs 22%, P=0.083).
  
  
  CONCLUSIONS
  This pilot study showed the feasibility of LB as a support for SP and its interest in post MI management in a local care network setting. In addition, our study provides encouraging data on the potential benefits of this pioneer tool for SP.
authors.affiliation: Département de médecine générale, UFR sciences de santé, 7, boulevard Jeanne-d'Arc, 21000 Dijon, France.
authors.forename: Aurélien
authors.initials: A
authors.lastname: Vaillant
authors.affiliation: Clinique de Fontaine, service de cardiologie, rue des Créots,Fontaine-les-Dijon, Dijon, France.
authors.forename: Gilles
authors.initials: G
authors.lastname: Dentan
authors.affiliation: CHU de Dijon, centre de réeducation-réadaptation, Dijon, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Laurent
authors.affiliation: CHU de Dijon, centre de réeducation-réadaptation, Dijon, France.
authors.forename: Gudjoncik
authors.initials: G
authors.lastname: Aurélie
authors.affiliation: CHU Bocage, service de cardiologie, boulevard Mal-de-Lattre-de-Tassigny, 21034 Dijon, France.
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Beer
authors.affiliation: CHU Bocage, service de cardiologie, boulevard Mal-de-Lattre-de-Tassigny, 21034 Dijon, France.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Germin
authors.affiliation: CHU Bocage, service de cardiologie, boulevard Mal-de-Lattre-de-Tassigny, 21034 Dijon, France.
authors.forename: Élodie
authors.initials: É
authors.lastname: Boch
authors.affiliation: CHU de Dijon, centre de réeducation-réadaptation, Dijon, France.
authors.forename: Jean-Marie
authors.initials: JM
authors.lastname: Casillas
authors.affiliation: Clinique de Fontaine, service de cardiologie, rue des Créots,Fontaine-les-Dijon, Dijon, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Brunel
authors.affiliation: Département de médecine générale, UFR sciences de santé, 7, boulevard Jeanne-d'Arc, 21000 Dijon, France.
authors.forename: Claude
authors.initials: C
authors.lastname: Touzery
authors.affiliation: CHU Bocage, service de cardiologie, boulevard Mal-de-Lattre-de-Tassigny, 21034 Dijon, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Cottin
authors.affiliation: Laboratoire de physiopathologie et pharmacologie cardiométaboliques, Inserm UMR866, UFR sciences de santé, 7, boulevard Jeanne-d'Arc, 21079 Dijon cedex, France. Electronic address: marianne.zeller@u-bourgogne.fr.
authors.forename: Marianne
authors.initials: M
authors.lastname: Zeller
authors.affiliation: Département de médecine générale, UFR sciences de santé, 7, boulevard Jeanne-d'Arc, 21000 Dijon, France.
authors.forename: Gilles
authors.initials: G
authors.lastname: Morel
mesh_terms: D003324:Coronary Artery Disease / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011446:Prospective Studies; D055502:Secondary Prevention / Q000379:methods*; D012648:Self Care / Q000379:methods*