Evaluation of Dutch Integrated Stroke Service Experiments
- Conditions
- Ischemic strokeCirculatory System
- Registration Number
- ISRCTN67636203
- Lead Sponsor
- The Netherlands Organisation for Health Research and Development (ZonMw)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 411
All patients in these experimental settings were compared to similar concurrent patients from general hospitals in three other Dutch regions. The latter were selected from a group of 23 hospitals participating in a previous national study. Based on the data collected in this already completed study, three hospitals were selected as representing the average Dutch patient, receiving the average current level of Dutch stroke care. The criteria for this selection were:
1. The average age of patients
2. Duration of hospital stay
3. Case-fatality
4. Barthel Index at discharge
5. Destination after discharge
All consecutive hospital patients admitted in a region with an acute first or recurrent ischemic stroke or Transient Ischemic Attack (TIA) were included.
Dead on arrival.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Health-related quality-of-life (QALIES) at two and six months<br>2. Cumulative total societal costs at three months (direct and indirect costs)<br>3. Length-of-stay as the most important cost driver
- Secondary Outcome Measures
Name Time Method 1. Other neurological health outcomes (Glasgow Coma Scale, 30 item version of the Sickness Impact Profile [SA-SIP30], Cambridge Cognitive Examination, modified Rankin Scale [mRS], The Barthel Index [BI])<br>2. Care satisfaction <br>3. Indirect medical costs<br>4. Residence<br>5. Quality of care<br><br>A qualitative study also observed the characteristics of the regional services.