Improving Coordination and Transitions of Care in Stroke Patients

Stroke Clinical Trial

Official title:

Improving Coordination and Transitions of Care for Stroke Patients With an Attending Nurse: a Comparative Effectiveness Single Center Study Comparing Models of Nursing Care

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02642744
• Other study ID #: 823366
• Status: Completed
• Phase: N/A
• Start date: October 2015
• Est. completion date: December 2023

Study information

• Verified date: February 2024
• Source: University of Pennsylvania
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will examine if the attending nurse model will enhance critical patient-centered elements of care that will in turn improve patient education and shared decision-making, medication adherence, stroke-related health literacy, and reduce early readmissions to ultimately yield improved patient quality of life. Our primary objective is to determine whether the attending nurse model of care improves stroke patients' health at 7 days, 30 days, and 90 days after hospital discharge as assessed through questionnaires.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 670
• Est. completion date: December 2023
• Est. primary completion date: September 30, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• > 18 years of age
• Admission to the Hospital of the University of Pennsylvania Vascular Neurology service
• Incident or recurrent:
• Ischemic stroke: focal neurological deficit of likely ischemic vascular origin
• Intracerebral hemorrhage: blood seen on initial head CT
• Transient Ischemic attack: focal neurological deficit of likely ischemic vascular origin that has clinically resolved

Exclusion Criteria:

• Pregnancy
• Comfort or hospice care
• Severe dementia prior to stroke
• Non-communicative and have no family/social support

Related Conditions & MeSH terms

• Ischemic Attack, Transient
• Stroke
• Transient Ischemic Attack

Intervention

Other:
• Nursing care model
Subjects will be randomized into either the attending nursing model of care vs the standard nursing model

Locations

Country	Name	City	State
United States	Hospital of the University of Pennsylvania	Philadelphia	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
University of Pennsylvania

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Stroke Patient Education Retention Tool	measures patient knowledge about stroke	90 days
Primary	Medication Compliance	medication adherence measurement	90 Days