Transitions of Care for Stroke Patients

NCT06011720 | Active Not Recruiting

• 1 other identifier: Pro2019000095
• Study Type: observational
• Target: 3,000
• Locations: 1 country
• Sites: 1

Brief Summary

For stroke patients, early initiation of therapy typically yields the best functional outcomes. Rehabilitation of stroke patients immediately after hospitalization minimizes deleterious effects of immobility and facilitates restoration of function. The investigators are testing if coordinated efforts between the medical and rehabilitation disciplines may improve stroke patient's functional recovery and subsequent follow-ups after discharge.

Conditions

Stroke; Ischemic Stroke; Intracerebral Hemorrhage

Keywords

Stroke; physiatry; rehabilitation; PM&R consultation; Transient Ischemic Attack; Intracerebral Hemorrhage; Ischemic Stroke

Outcome Measures

Primary Outcomes (1)

• Length of stay (in hours and days).

  We standardized the placement of early physiatry consults during patient admission. We will determine the effect this has on overall acute care length of stay in ischemic and hemorrhagic stroke patients.

  Data from 1/1/2018-12/31/2019, collected under updated standard of care compared to baseline data from 7/1/2015-6/30/2017.

Secondary Outcomes (5)

• Rehospitalization rate.

  Data from 1/1/2018-12/31/2019, collected under updated standard of care compared to baseline data from 7/1/2015-6/30/2017.

• Functional independence

  Data from 1/1/2018-12/31/2019, collected under updated standard of care compared to baseline data from 7/1/2015-6/30/2017.

• Stroke clinic outpatient follow-up.

  Data from 1/1/2018-12/31/2019, collected under updated standard of care compared to baseline data from 7/1/2015-6/30/2017.

• Pre-specified subanalyses for effect on primary outcome measures.

  Data from 1/1/2018-12/31/2019, collected under updated standard of care compared to baseline data from 7/1/2015-6/30/2017.

• Pre-specified subanalyses for effect on functional independence.

  Data from 1/1/2018-12/31/2019, collected under updated standard of care compared to baseline data from 7/1/2015-6/30/2017.

Study Arms (2)

Stroke Patients July 1st 2015 - June 30th 2017

Stroke patients that have undergone hospitalization within the time frame July 1st 2015 - June 30th 2017 to be used as a baseline.

Stroke Patients January 1st 2018 - December 31st 2019

Stroke patients that have undergone hospitalization and undergone improvements to transition of care within the time frame January 1st 2018 - December 31st 2019.

Other: Improved transition of care.

Interventions

Improved transition of care. OTHER

Evaluation of how early physiatry consultation after acute stroke affects length of stay and resulting outcomes.

Stroke Patients January 1st 2018 - December 31st 2019

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

Stroke patients hospitalized within Robert Wood Johnson University Hospital system for Ischemic Stroke or Intracerebral Hemorrhage within the two time frames, July 1st 2015 - June 30th 2017 and January 1st 2018 - December 31st 2019.

You may qualify if:

• Stroke patients hospitalized within Robert Wood Johnson University Hospital system for Ischemic Stroke or Intracerebral Hemorrhage.

You may not qualify if:

• Those not in the Robert Wood Johnson University Hospital system.
• Those with a Subarachnoid Hemorrhage or Transient Ischemic Attack (\< 24 hours).

Sponsors & Collaborators

• JFK Medical Center: collaborator
• Deviyani Mehta, MD: lead

Study Sites (1)

Rutgers-RWJMS Department of Neurology

New Brunswick, New Jersey, 08901, United States

Location

MeSH Terms

Conditions

Stroke; Ischemic Stroke; Cerebral Hemorrhage; Ischemic Attack, Transient

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Intracranial Hemorrhages; Hemorrhage; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Brain Ischemia

Study Officials

• Deviyani Mehta, MD

  Rutgers, The State University of New Jersey

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Associate Professor of Neurology

Study Record Dates

• First Submitted: February 18, 2022
• First Posted: August 25, 2023
• Study Start: May 1, 2019
• Primary Completion (Estimated): July 1, 2026
• Study Completion (Estimated): July 1, 2027
• Last Updated: May 28, 2026

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)