Improved Prevention of Stroke in Primary Care in Stockholm, Sweden (Förbättrad Prevention av Stroke)
An Interventional Study of How Collegial Feed Back to Primary Care Physicians on Detection of Diagnosis and Dispensation of Prescribed Secondary Preventive Drugs Affect Stroke Prevention.
1 other identifier
interventional
204
1 country
1
Brief Summary
Stroke is a devastating disease. The acute mortality in Sweden is 20 % and 25 % of all patients relapse. Secondary prevention is proven efficient but observational studies have shown that a number of patients are lost to follow up and do not receive recommended prevention. The aim of the study is to 1) describe, by analyzing register data, the detection rate of patients with hospital diagnosis of stroke, TIA, and atrial fibrillation in the primary care center where they are listed. The analysis is done by sex, age, and socioeconomic status. Furthermore, rate of dispensed prescriptions of secondary preventive drugs are analysed for the identified population. 2) in a randomized controlled study evaluate if collegial feed back and targeted information of secondary prevention to the intervention group can improve the detection rate and the medication of the patients listed at the participating primary care centers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2013
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 15, 2013
CompletedFirst Posted
Study publicly available on registry
September 13, 2013
CompletedStudy Start
First participant enrolled
October 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2019
CompletedSeptember 16, 2020
September 1, 2020
5.4 years
April 15, 2013
September 14, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
percentage of identified patients with stroke/TIA in primary care and analysis of dispensed prescriptions in each group
percentage of patients identified with hospital discharge diagnosis of stroke/TIA in primary care diagnosis register. Analysis of changes in outcome before intervention and after. the intervention will take place during one year and collection of data before start of intervention and one year after ended intervention will be performed
Outcome meassures will be followed during two years
Secondary Outcomes (1)
dispensed prescriptions of secondary preventives drugs in patients with stroke/TIA
baseline 2010 and 2012, followed for one year after intervention
Study Arms (2)
structured collegial feed back
EXPERIMENTALStructured feed back and information about stroke to the primary care center, to physicians and head of the center
Control group
NO INTERVENTIONNo structured feed back on stroke prevention. Ordinary educational activities only.
Interventions
Collegial feed back to primary care physicians at randomized primary care centers
Eligibility Criteria
You may qualify if:
- Primary care center in Stockholm county
You may not qualify if:
- localisation outside Stockholm County
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Karolinska Institutet Stroke Research Network at Södersjukhuset
Stockholm, Sweden
Related Publications (2)
Geary L, Hasselstrom J, Carlsson AC, Eriksson I, von Euler M. Secondary prevention after stroke/transient ischemic attack: A randomized audit and feedback trial. Acta Neurol Scand. 2019 Aug;140(2):107-115. doi: 10.1111/ane.13109. Epub 2019 May 9.
PMID: 31017305RESULTGeary L, Hasselstrom J, Carlsson AC, Schenck-Gustafsson K, von Euler M. An audit & feedback intervention for improved anticoagulant use in patients with atrial fibrillation in primary care. Int J Cardiol. 2020 Jul 1;310:67-72. doi: 10.1016/j.ijcard.2020.04.027. Epub 2020 Apr 12. No abstract available.
PMID: 32327203RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mia von Euler, MD, PhD
Karolinska Institutet
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor, Head Karolinska Institutet Stroke Research Network at Södersjukhuset
Study Record Dates
First Submitted
April 15, 2013
First Posted
September 13, 2013
Study Start
October 1, 2013
Primary Completion
March 1, 2019
Study Completion
October 1, 2019
Last Updated
September 16, 2020
Record last verified: 2020-09