Get With the Guidelines-Stroke Registry

Stroke Clinical Trial

— GWTG-Stroke  

Official title:

Get With the Guidelines-Stroke Registry

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02693223
• Other study ID #: 001
• Status: Recruiting
• Start date: January 2003
• Est. completion date: January 2040

Study information

• Verified date: December 2023
• Source: American Heart Association
• Contact: Kelly Burlison, MPH
• Phone: 2147062237
• Email: kelly.burlison[@]heart.org
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

Get With The Guidelines-Stroke is a program for improving the quality of care for patients hospitalized with stroke by promoting consistent adherence to the latest evidence-based clinical practice guidelines.

Description:

Get With The Guidelines®-Stroke is an in-hospital program for improving stroke care by promoting consistent adherence to the latest scientific treatment guidelines. Since its initiation in 2003, 2,637 hospitals have entered 3,892,063 patient records into the Get With The Guidelines-Stroke database. Numerous published studies demonstrate the program's success in achieving measurable patient outcome improvements.

Achievement measures tracked through the Get With The Guidelines®-Stroke:

• IV rT-PA arrive by 3.5 hour, treat by 4.5hour

• Early antithrombotics

• VTE prophylaxis

• Antithrombotics at or by discharge

• Anticoagulation for Afib/Aflutter at or by discharge

• Smoking cessation at or by discharge

• Intensive Statin Therapy

Quality measures tracked through the Get With The Guidelines®-Stroke:

• Dysphagia screen

• Time to intravenous thrombolytic therapy-60 min

• NIHSS reported

• Stroke education at or by discharge

• Rehabilitation considered at or by discharge

• LDL Documented

Additional measures collected by Get With The Guidelines®-Stroke can be viewed at:

https://www.heart.org/en/professional/quality-improvement/get-with-the-guidelines/get-with-th e-guidelines-stroke/get-with-the-guidelines-stroke-patient-management-tool

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 3892063
• Est. completion date: January 2040
• Est. primary completion date: January 2040
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 125 Years

Eligibility

Inclusion Criteria:

• Patients presented with a diagnosis of Ischemic stroke or transient ischemic attack, Subarachnoid hemorrhage, Intracerebral hemorrhage, or Stroke not otherwise specified to the hosptials.

Exclusion Criteria:

• Patients who do not have a diagnosis of Ischemic stroke or transient ischemic attack, Subarachnoid hemorrhage, Intracerebral hemorrhage, or Stroke not otherwise specified.

• Patients under age of 18

Related Conditions & MeSH terms

• Stroke

Intervention

Other:
• GWTG Stroke program
Evidence based recommended therapies and counseling prior to hospital discharge.

Locations

Country	Name	City	State
United States	Kelly Burlison	Dallas	Texas

Sponsors (1)

Lead Sponsor	Collaborator
American Heart Association

Country where clinical trial is conducted

United States, 

References & Publications (5)

Hemphill JC 3rd, Greenberg SM, Anderson CS, Becker K, Bendok BR, Cushman M, Fung GL, Goldstein JN, Macdonald RL, Mitchell PH, Scott PA, Selim MH, Woo D; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Cl — View Citation

Meschia JF, Bushnell C, Boden-Albala B, Braun LT, Bravata DM, Chaturvedi S, Creager MA, Eckel RH, Elkind MS, Fornage M, Goldstein LB, Greenberg SM, Horvath SE, Iadecola C, Jauch EC, Moore WS, Wilson JA; American Heart Association Stroke Council; Council o — View Citation

Mulder MJ, van Oostenbrugge RJ, Dippel DW; MR CLEAN Investigators. Letter by Mulder et al Regarding Article, "2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatme — View Citation

Powers WJ, Derdeyn CP, Biller J, Coffey CS, Hoh BL, Jauch EC, Johnston KC, Johnston SC, Khalessi AA, Kidwell CS, Meschia JF, Ovbiagele B, Yavagal DR; American Heart Association Stroke Council. 2015 American Heart Association/American Stroke Association Fo — View Citation

Saver JL, Carroll JD, Smalling R, Thaler D. Letter by Saver et al regarding article, "Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Associati — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	In-hospital mortality		6 days - mean for length of hospitalization for Stroke patients
Primary	Modified Rankin Scale at Discharge	Patients grouped by Modified Rankin Scale at discharge	6 days - mean for length of hospitalization for Stroke patients
Primary	Risk-Adjusted Mortality Ratio (for Ischemic-Only and Ischemic and Hemorrhagic models)	A ratio comparing the actual in-hospital mortality rate to the risk-adjusted expected mortality rate.	30 days post discharge from hospital