Structured Stroke Management Improves Outcome at 6 Months
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Purpose
Background/Aim of the study: To further reduce the 6 months stroke morbidity and mortality in a high volume stroke hospital and to compare the results with national and international data.
Methods: 204 consecutive stroke patients are analyzed in a prospective study in a single center teaching institution. The intervention consists of a structured therapeutic chain of 290 collaborating GPs, a standardised acute hospital proceeding overlapping with an early integrated neurovascular rehabilitation within the same institution. Primary endpoints include death and dependence at 6 months, secondary endpoints are the length of hospital stay (LOS) and the quantitative analysis of physical and psychosocial impairments. The data are directly compared with the same endpoints of the Swiss subgroup of the international stroke trial (IST).
| Condition | Intervention |
|---|---|
|
Stroke |
Procedure: structured therapeutic chain of stroke treatment |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | Structured Stroke Management Improves Outcome at 6 Months |
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
Inclusion Criteria:
- An acute cerebrovascular event (ischemic stroke or intra-cerebral bleeding (ICB)) with the signs and symptoms of an acute stroke according to the World Health Organisation definition of acute stroke14 within the last 12 hours without the need or possibility of a neurosurgical intervention
- No thrombolytic therapy within the first 3 hours (in order to allow the correct comparison with the Swiss cohort of the IST trial
- The informed consent of the patient or, if not possible, of the relatives
- Living at home before the event
- Lack of participation in another trial.
Exclusion Criteria:
- Thrombolytic therapy within the first 3 hours (in order to allow the correct comparison with the Swiss cohort of the IST trial
- No informed consent of the patient or, if not possible, of the relatives
- Not living at home before the event
- Participation in another trial (26 patients were excluded because of TIA with full recovery within 24 hours after the event)
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00544622 History of Changes |
| Other Study ID Numbers: | INR50 |
| Study First Received: | October 12, 2007 |
| Last Updated: | October 16, 2008 |
| Health Authority: | Switzerland: Federal Office of Public Health |
Keywords provided by Kantonsspital Baden:
|
Stroke treatment Rehabilitation Stroke chain Stroke unit |
Additional relevant MeSH terms:
|
Stroke Cerebral Infarction Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases |
Nervous System Diseases Vascular Diseases Cardiovascular Diseases Brain Infarction Brain Ischemia |
ClinicalTrials.gov processed this record on May 23, 2013