Improving Stroke Care in Greece in Terms of Management, Costs and Health Outcomes- Stroke Units Necessity for Patients (SUN4P)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebrovascular Disorders
- Sponsor
- National and Kapodistrian University of Athens
- Enrollment
- 913
- Locations
- 10
- Primary Endpoint
- Modified Rankin Scale (mRS) score
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The main objectives of the proposed project are:
- To provide essential data on acute stroke management (quality indicators) incorporating hard clinical outcomes that will contribute to an ongoing process of quality improvement
- To develop an interactive multichannel platform, for collecting, cleansing and curating high quality in-hospital and follow up data, applying multidimensional quality assessment analysis, providing statistical and analytic reports, monitoring behavioral changes and supporting overall project's management.
- To evaluate patients' and physicians' experiences and their impact on stroke management.
- To assess severe negative impact of stroke on the life of survivors including quality of life and disability
- To measure health related and non- health (loss of productivity, informal care) related national expenditure for stroke care using a bottom up approach
- To evaluate the value of care focusing on health outcomes compared with total costs of achieving them
Detailed Description
A prospective cohort multicenter study of patients with first ever acute stroke, hemorrhagic and ischemic, (ICD-10 codes: I61, I63 and I64) admitted within 48 hours of symptoms onset to seven NHS and University hospitals will be conducted. About 1,000 patients (2% of all new cases/annually) will be recruited from six urban and semi-urban areas with 5.5 mil people (50% of Greek population), reporting 25,000 discharged stroke cases annually (53% of all stroke discharges), according to data derived from Hellenic Statistical Authority. All patients will be followed for three months. Moreover, a sub-group of the 300 firstly recruited patients will be followed for a year to obtain data on post hospital health and social needs, health services utilization (medication, rehabilitation, outpatient visits) and productivity loss . Patient enrolment and follow up is estimated to last 18 months.
Investigators
OLGA SISKOU
Senior Researcher
National and Kapodistrian University of Athens
Eligibility Criteria
Inclusion Criteria
- •Diagnosis of hemorrhagic or ischemic stroke (ICD-10: I61, I63 and I64)
- •Patients with First ever acute stroke
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Modified Rankin Scale (mRS) score
Time Frame: Three months
mRS measures the degree of disability or dependence in the daily activities of patients after a stroke or other causes of neurological disability (0: no symptoms at all - 6: Dead)
National Institutes of Health Stroke Scale (NIHSS) score
Time Frame: Three months
NIHSS is a method for assessing the severity of a stroke experienced by a patient (0: No Stroke Symptoms, 42: Severe Stroke)
Mortality
Time Frame: Three months
Patient based stroke (inpatient and outpatient) mortality
Cost
Time Frame: Three months
Average cost per patient