The Correlation Between the Length of Stay in Post Acute Care(PAC) and General Improvements in Stroke Patients

NCT03778905 | Completed

• 1 other identifier: CMMC10711-J02
• Study Type: observational
• Target: 305
• Locations: 1 country
• Sites: 1

Brief Summary

Post-Acute Care(PAC) had been inaugurated in Taiwan for almost four years and current essays revealed positive effects upon general improvements in stroke patient after PAC training. During acute phase, a stroke patient would admit to internal medicine or surgical ward and transferred to rehabilitative ward for more intensive therapeutic programs, restoring muscle power and promoting activity of daily life(ADL) ability. Under relative stable condition, the patient would transfer to PAC institution or hospitals afterwards for continuing rehabilitative program if the patient is acknowledged to have rehabilitative potentials. However, there's still lacking of investigation upon whether the length of stay in PAC correlates to general improvements. Thus, stroke patients' functional ability, such as activities of daily living (ADL) function, swallowing ability and so on, as well as their corresponding scales were assessed on the first and last day during PAC hospitalization. Statistical analysis was conducted via SPSS ver21.0 to compare the relationship of improvements in functional ability and the length of stay in PAC. We're looking forward to the final results!

Conditions

Stroke

Outcome Measures

Primary Outcomes (10)

• Activity of daily life function

  Activity of daily life function is evaluated by both Barthel index(Range: 0\~100 score; higher score indicates better function) and Modified Rankin Scale(Grade 1\~6; the lower grade indicates better function). Task-oriented activity of daily life is assessed by Industrial activity of daily life(Range: Male 0\~5 score and female 0\~8 score; Higher score indicates better function)

  35 days

• Nutritional status

  Nutritional status is evaluated by Mini nutritional assessment(Range: 0.0\~30.0). Higher score indicates better function

  35 days

• Oral intake function

  Oral intake is evaluated by Functional oral intake scale(Range: level 1\~7). Higher level indicates better function.

  35 days

• Cardiopulmonary capacity

  Cardiopulmonary capacity is evaluated by 6-minute walk test, which requires the patients to walk as much as they can within 6 minutes. Walking length is presented in meters. Longer distance and more meters indicate better function.

  35 days

• Walking speed

  Walking speed is evaluated by Usual Gait Speed, which require the patients to walk certain distance and record the time that needed to finish the whole course. Time is presented with seconds. The shorter time and lower seconds indicate better function.

  35 days

• Upper motor hand function

  Upper motor hand function is evaluated by Fugl-Meyer assessment(Range 0\~44 scores) Higher scores indicate better function.

  35 days

• Life quality

  Life quality is evaluated by EuroQoL-5D(Range: 5\~15 scores). Lower scores indicate better life quality.

  35 days

• Balance and coordination

  Balance and coordination is evaluated by Berg-Balance test(Range: 0\~56). Higher scores indicate better function.

  35 days

• Cognition

  Cognition is evaluated by Mini-Mental Sate Examination(Range: 0\~30 score). Higher scores indicate better cognition.

  35 days

• Speech function

  Speech function is evaluated by Concise Chinese Aphasia Test(Range: 1\~12 scores). Higher scores indicate better speech function

  35 days

Study Arms (1)

stroke patient with complete post-acute care hospitalization

This study aims on stroke patients with complete rehabilitative program in post acute care institution and we try to assess their functional improvements after rehabilitative training.

Other: Rehabilitation

Interventions

Rehabilitation OTHER

The stroke patients who admitted to post acute care(PAC) institution would undergo regular rehabilitation.

stroke patient with complete post-acute care hospitalization

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Stroke patient who meet up criteria of \>18 y/o, acute onset of stroke within 30 days and Modified Rankin Scale 2\~4 as well as complete post acute care(PAC) rehabilitative program.

You may qualify if:

• \>18 y/o
• acute onset of stroke within 30 days
• Modified Rankin Scale 2\~4

You may not qualify if:

• patients refused to join post acute care(PAC) program
• hemodynamic unstable
• disease progression

Sponsors & Collaborators

• Chimei Medical Center: lead

Study Sites (1)

Chi Mei Medical Center

Tainan, 71004, Taiwan

Location

MeSH Terms

Conditions

Stroke

Interventions

Rehabilitation

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Willy Chou, MD, MS

  Chi Mei Medical Hospital

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director of physical medicine and rehabiliation

Study Record Dates

• First Submitted: December 10, 2018
• First Posted: December 19, 2018
• Study Start: December 3, 2018
• Primary Completion: December 14, 2018
• Study Completion: June 22, 2019
• Last Updated: July 28, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)