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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT03605355
Other study ID # RC31/17/0349
Secondary ID 2018-A01444-51
Status Not yet recruiting
Phase
First received
Last updated
Start date September 7, 2019
Est. completion date December 2020

Study information

Verified date January 2019
Source University Hospital, Toulouse
Contact Hélène Derumeaux-Burel, MD
Phone 05 61 77 87 75
Email derumeaux.h@chu-toulouse.fr
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The effectiveness of outpatient management of minor TIAs and strokes in the context of a dedicated outpatient pathway with specialized care has been demonstrated and has resulted in an 80% decrease in stroke in the year followed the AIT (EXPRESS and SOS-TIA studies) At the same time, few studies have been conducted on their economic interest and none in France.

Patient's typology (younger patient, no sequel, no disability) with Transient ischemic attack (TIA) and minor stroke (MS) makes them compatible with ambulatory management.


Description:

Only two hospitals in France can take care patients with TIA or MS in an outpatient setting :Bichat hospital in Paris and Toulouse University Hospital. The effectiveness of this management has been demonstrated since recurrence stroke risk is reduced by 80% at one year. An English study (EXPRESS study) [2] showed a gain of 624 pounds with an ambulatory management compared to a conventional one. No studies are available in France on this subject.

The aim of this study is to test the feasibility of a collection of medical and economic data on a prospective way. The investigators collect medical (Cerebrovascular events, Stroke) and economic (direct and indirect costs) data concerning patients who were managed in TIA clinic in Toulouse Hospital. The medical data will be compiled with available French and International literature. The economic data will be compiled with available data in PMSI and health insurance database. This study aims to prepare a multicenter cohort to compare the cost effectiveness ratio between ambulatory and conventional management.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 200
Est. completion date December 2020
Est. primary completion date December 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Hospitalization in the TIA clinic in Toulouse Hospital (a day clinic)

- Having presented within the previous 7 days a transient ischemic attack or a minor stroke

- Affiliated to a social protection system

- To have given no opposition to participation in the study

Exclusion Criteria:

- Patients with a transient ischemic attack - mimic (such as migraine or seizure)

- Patients under protection of justice

- Pregnant and / or breastfeeding woman

Study Design


Locations

Country Name City State
France University Hospital Toulouse Toulouse

Sponsors (1)

Lead Sponsor Collaborator
University Hospital, Toulouse

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary The average cost-effectiveness ratio at 3 month The average cost-effectiveness ratio at 3 month where the effectiveness is the 3-month cerebro vascular event rate and the costs taken into account are medical and non-medical direct costs and indirect costs limited to work stoppages. 3 months
Secondary Percentage of full cost collection Percentage of patients for whom total direct medical, direct non-medical, and indirect costs could be collected by comparing with health insurance data 1 year
Secondary Concordance between monitoring data collected in different database Concordance between prospectively collected monitoring data, supplemented by data from the PMSI database of Toulouse University Hospital and data extracted from the health insurance database via NIR. 1 year
Secondary Recurrence rate of cerebro and cardiovascular events at 7 days Recurrence rate of cerebro and cardiovascular events at 7 days : Stroke, myocardial infarction, vascular death within 30 days of stroke or MI 7 days
Secondary Recurrence rate of cerebro and cardiovascular events at 3 months Recurrence rate of cerebro and cardiovascular events at 3 months : Stroke, myocardial infarction, vascular death within 30 days of stroke or MI 3 months
Secondary Recurrence rate of cerebro and cardiovascular events at one year Recurrence rate of cerebro and cardiovascular events at one year : Stroke, myocardial infarction, vascular death within 30 days of stroke or MI one year
Secondary Average cost-effectiveness ratio at one year The average cost - effectiveness ratio with the criterion of effectiveness the recurrence rate for cardiovascular events at one year (stroke, myocardial infarction, vascular death occurring within 30 days after a stroke or an IDM), and as cost criteria, direct medical and non-medical costs and indirect costs limited to work stoppages one year
Secondary Percentage of patients treated in TIA clinic who had first medical contact with a senior Percentage of patients attending the AIT Clinic who had first medical contact with a senior neurology 1 day
Secondary Percentage of patients with statin prescription at discharge Percentage of patients with statin prescription at discharge 1 day
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