Stroke Clinical Trial
Official title:
Implementing International Standards of Practice in A Low Resource Country by Blended Training Modules to Improve Stroke Care
Verified date | April 2021 |
Source | Foundation University Islamabad |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Lack of proper stroke care delivery leads to poor patient outcomes in middle- and low-income countries that can be improved by implementation of international standards. We aim to determine feasibility of implementing stroke core measures and training through blended learning modules in resource poor countries to improve stroke outcomes.
Status | Active, not recruiting |
Enrollment | 100 |
Est. completion date | December 31, 2021 |
Est. primary completion date | June 30, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: Acute onset of Symptoms in the last 24 hours suggestive of stroke Age > 18 years Ischemic or hemorrhagic stroke - Exclusion Criteria: Presenting after 24 hours of onset of symptoms Alternate explanation for presenting symptoms (stroke mimics) Family (Surrogate Decision Maker) or next of kin/ patient refusal for participation Transfer of care from another department or hospital Care needed in another department (e.g, ICU, other department) GCS (Glasgow Coma Scale) below 5 or End of life care initiated TIA (Transient Ischemic Attack) - |
Country | Name | City | State |
---|---|---|---|
Pakistan | Fauji Foundation Hospital | Rawalpindi | Punjab |
Lead Sponsor | Collaborator |
---|---|
Foundation University Islamabad |
Pakistan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Post Core Measure Delivery | • Primary outcome measure will be successful implementation of the stroke care model as measured by survey done at the end assessing engagement and ability to continue the program in future and ability to implement the program across institutions. This will be measured by the NIHSS training, stroke education, awareness of core measures, the regularity of following the core measure and data collection. | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 6 months | |
Secondary | Modified Rankin Scale | Modified Rankin Scale is a 6 point disability scale from 0-6, and a greater score means worse outcome. | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 7 days | |
Secondary | New ischemic stroke or Transient Ischemic Attack: | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 7 days | ||
Secondary | Hemorrhagic transformation: | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 7 days | ||
Secondary | Intracranial hemorrhage: | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 7 days | ||
Secondary | Death | From date of inclusion in the study until the date of discharge |
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