Quality Assessment in Acute Stroke Care
QuASt
Quality of Acute Stroke Care Evaluated With a Clinical Pathway on a 16 Bed Stroke Unit - a Prospective Trial
1 other identifier
observational
400
1 country
1
Brief Summary
The purpose of the study is to evaluate the quality of care on a 16 bed stroke unit by using a new developed clinical pathway.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Oct 2007
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2007
CompletedFirst Submitted
Initial submission to the registry
November 23, 2007
CompletedFirst Posted
Study publicly available on registry
December 17, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2009
CompletedJanuary 13, 2010
November 1, 2007
November 23, 2007
January 12, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
frequency of patients monitored according to the specific german procedure standard (OPS-code 8-981) (preset target 90 - 95 %)
duration of stay on stroke unit
Secondary Outcomes (6)
frequency of stroke been classified according to the TOAST criteria (preset target 55 - 65 %)
duration of stay on stroke unit
frequency of initiated or improved antithrombotic secondary prevention (preset target 90 - 95 %)
duration of stay on stroke unit
frequency of initiated or improved statin therapy (preset target 40 - 50 %)
duration of stay on stroke unit
frequency of totally completed clinical diagnostics regarding the etiology of the stroke (preset target 60 -70 %)
duration of stay on stroke unit
frequency of initiated or improved antihypertension therapy and reduction of systolic and diastolic blood pressure by more than 10 mmHg (preset target 60 - 70 %)
duration of stay on stroke unit
- +1 more secondary outcomes
Eligibility Criteria
patients with an acute ischemic stroke admitted to the stroke unit of the university hospital in Muenster, Germany
You may qualify if:
- admission to the stroke unit of the university hospital in Muenster, Germany
- acute ischemic stroke or transient ischemic attack
You may not qualify if:
- intracerebral haemorrhage
- neurological symptoms due to other pathology than acute ischemic stroke or transient ischemic attack
- intraarterial thrombolysis
- necessity of artificial ventilation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Neurology, University Hospital of Muenster
Münster, 48149, Germany
Related Publications (3)
Heuschmann PU, Biegler MK, Busse O, Elsner S, Grau A, Hasenbein U, Hermanek P, Janzen RW, Kolominsky-Rabas PL, Kraywinkel K, Lowitzsch K, Misselwitz B, Nabavi DG, Otten K, Pientka L, von Reutern GM, Ringelstein EB, Sander D, Wagner M, Berger K. Development and implementation of evidence-based indicators for measuring quality of acute stroke care: the Quality Indicator Board of the German Stroke Registers Study Group (ADSR). Stroke. 2006 Oct;37(10):2573-8. doi: 10.1161/01.STR.0000241086.92084.c0. Epub 2006 Sep 7.
PMID: 16960092BACKGROUNDKwan J. Care pathways for acute stroke care and stroke rehabilitation: from theory to evidence. J Clin Neurosci. 2007 Mar;14(3):189-200. doi: 10.1016/j.jocn.2006.01.026.
PMID: 17258128BACKGROUNDTaylor WJ, Wong A, Siegert RJ, McNaughton HK. Effectiveness of a clinical pathway for acute stroke care in a district general hospital: an audit. BMC Health Serv Res. 2006 Feb 23;6:16. doi: 10.1186/1472-6963-6-16.
PMID: 16504101BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Wolf Rüdiger Schäbitz, MD
Department of Neurology, University Hospital of Muenster, Germany
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 23, 2007
First Posted
December 17, 2007
Study Start
October 1, 2007
Study Completion
April 1, 2009
Last Updated
January 13, 2010
Record last verified: 2007-11