Implementation of Clinical Pathway to Improve Quality of Healthcare in Stroke Inpatients

NCT02978794 | Unknown DMC

• 1 other identifier: CCH-161006
• Study Type: observational
• Target: 300
• Locations: 0 countries
• Sites: N/A

Brief Summary

With the extension of the average life expectancy, the incidence of cardiovascular diseases is also rising. Stroke in Taiwan has been the leading cause of morbidity and mortality, but also in countries around the world), stroke and the impact of socio-economic and health spending are large how to reduce the degree of disability after stroke is an important issue in medicine. For a long time, the resident will fill the clinical pathway form before the stroke inpatients were discharged. We also analyzed the data of clinical pathway every three months. According to the current data of stroke clinical pathway included demographic data, length of hospitalization days, complications, functional independent measure, Brunnstrom motor recovery stage, mini-mental state examination, geriatric depression scale, blood pressure data, and post-stroke checklist for a retrospective analysis to provide more complete and more comprehensive information on follow-up care for stroke patients and effective use of medical resources, to improve the quality of future medical care and quality of life for stroke patients.

Conditions

Stroke

Keywords

stroke, clinical pathway, medical care

Outcome Measures

Primary Outcomes (3)

• functional independent measurement

  1 year

• post-stroke checklist

  1 year

• Brunnstrom motor recovery stage

  1 year

Eligibility Criteria

• Age: 20 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

stroke inpatient

You may qualify if:

• Ischemic and hemorrhagic stroke patients
• MRI confirmed the diagnosis of stroke
• Within three months of onset of unilateral limb hemiplegia in patients

You may not qualify if:

• Initial tracheostomy impantation and hospital stay is less than 5 days
• Combined with other neurological diseases, such as epilepsy, multiple neuropathy, Meniere's disease, vestibular neuritis, Parkinson's disease, dementia or cerebellar atrophy, etc.
• Significant lesions of the lower limb joints, including joint contractures, lower limb fractures, joint replacement or long-term pain in patients with osteoarthritis
• Unstable signs of life (if not through the tilt bed test) or severe cardiopulmonary disease
• Those who can not cooperate with the study or who have not signed the inform consent

Sponsors & Collaborators

• Changhua Christian Hospital: lead

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director, Physical Medical and Rehabilitation, Principal Investigator,

Study Record Dates

• First Submitted: November 29, 2016
• First Posted: December 1, 2016
• Study Start: November 1, 2016
• Primary Completion: February 1, 2022
• Study Completion: February 1, 2022
• Last Updated: July 1, 2021

Record last verified: 2021-06