Ischemic Stroke Clinical Trial
Official title:
Cluster-randomized Trial of a Targeted Multifaceted Intervention to Bridge the Evidence-based Gap in the Management of Acute Ischemic Stroke
The purpose of this study is to evaluate whether a multifaceted quality improvement intervention can improve the adherent rate of individual and composite of evidence-based performance measures for patients with acute ischemic stroke within the first 7 days of symptom onset and reduce the incidence of a new clinical vascular event, disability, and all-cause mortality at discharge and long term clinical outcome.
Study population:
patients with acute ischemic stroke who were admitted to the hospital within 7 days after the
initial symptom onset.
Program:
There are multifaceted quality improvement interventions including:
1. Evidence-based clinical pathway
2. Standard operating procedures (SOP) of performance indicators
3. A quality coordinator
4. Monitoring and feedback system of performance measures
Endpoints:
Primary outcome:increase of adherence of evidence based treatment in clinical practice;
Secondary outcome: total mortality, disability, and major cerebrovascular events
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