Involvement of the Physician in Primary Prevention and Pre-hospital Management of Stroke

NCT03975218 | Completed

• 1 other identifier: PREVENTION AVC
• Study Type: observational
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke is a growing disease. It is the first pathology responsible for acquired handicap, the second of dementia and the second cause of death in the world. In France, they are the leading cause of death in women and the third cause in men. Sequelae and disabilities also represent a significant financial cost for health insurance. The early management of the treatment improves the patient's vital and functional prognosis. The ability of the patient to identify the signs of stroke requiring urgent consultation and proper orientation are therefore crucial for further management. The most common signs that patients must recognize are muscle weakness or sudden paralysis of an arm, leg or half of the body, asymmetry of the face, tingling, numbness of a hemi-body, speech or understanding, loss of vision of an eye or hemifield, disorder of the coordination of a hemi-body. The variety of clinical pictures complicates primary prevention. In this context, a 2010-2014 National Stroke Action Plan was undertaken with the aim, among other things, of developing information to prevent stroke and to limit its sequelae. In this plan, the attending physician must improve prevention in high-risk patients and be a link between the city and the hospital for follow-up. Several questions arise:

• Are patients who are regularly followed by a general practitioner better educated on the signs of stroke / TIA and thus more able to give an appropriate warning?
• What is the profile of patients who have not been affected by the different modes of primary prevention?
• What are the effective means of information and those desired

Conditions

Stroke

Outcome Measures

Primary Outcomes (1)

• Time until patient's care in the hospital after stroke's symptoms

  The delay between the observation of signs of stroke and specialized neurovascular management at the hospital will be measured. This measures the impact of physician's prevention on the management of stroke.

  Day 1

Secondary Outcomes (1)

• Study the different effective means of primary prevention

  Day 1

Study Arms (1)

Patients with stroke

In addition to the usual care, the patient will have to complete a questionnaire analyzing the regularity of his follow-up by a physician.

Other: Patients With Stroke

Interventions

Patients With Stroke OTHER

In addition to the usual care, the patient will have to complete a questionnaire analyzing the regularity of his follow-up by a physician.

Patients with stroke

Eligibility Criteria

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

Study Population

Patient hospitalized in the neurology / neurovascular department within the GHPSJ following a stroke (first episode or recurrence)

You may qualify if:

• Patient whose age is ≥ 18 years
• Patient hospitalized in the neurology / neurovascular department within the GHPSJ following a stroke (first episode or recurrence)
• Francophone patient

You may not qualify if:

• Patient with previously labeled cognitive impairment
• Patient under tutorship or curatorship
• Patient deprived of liberty
• Patient unable to answer the questionnaire
• Patient opposing participation in the study

Sponsors & Collaborators

• Fondation Hôpital Saint-Joseph: lead

Study Sites (1)

Groupe Hospitalier Paris Saint-Joseph

Paris, 75014, France

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Marie BRUANDET, MD

  Fondation Hôpital Saint-Joseph

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 24, 2019
• First Posted: June 5, 2019
• Study Start: June 7, 2019
• Primary Completion: July 29, 2019
• Study Completion: December 5, 2019
• Last Updated: December 6, 2019

Record last verified: 2019-12

Locations

FR (1)