MedPath

Mild and Rapidly Improving Stroke Study

Completed
Conditions
Ischemic Stroke
Registration Number
NCT02072681
Lead Sponsor
University of Miami
Brief Summary

The objective of this study is to determine the 90-day outcomes of mild and rapidly improving ischemic stroke.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2175
Inclusion Criteria
  • Mild or spontaneously rapidly improving ischemic stroke confirmed by neuroimaging
  • Arrival to hospital within 4.5 hours of symptom onset
  • Willing to provide consent
  • Available for a telephone interview at 30 and 90 days
Exclusion Criteria
  • Onset >4.5 hours
  • Unable to provide informed consent (patient or legally appointed representative
  • Premorbid modified Rankin Scale >1
  • Unavailable by telephone for follow-up

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion of patients not independent at 90 days90 days

The primary outcome measure is proportion of patients with a modified Rankin Scale of 2-6 at 90 days

Secondary Outcome Measures
NameTimeMethod
Proportion of patients with dependence or disability in activities of daily living at 90 days90 days

Proportion of patients not independent in activities of daily living defined as a Barthel Index score \<95

Symptomatic intracranial hemorrhage due to Alteplase36 hours

Amongst those that receive intravenous Alteplase, a secondary safety measure is the proportion of patients that develop neurologic worsening development of symptomatic intracerebral hemorrhage, defined as neurological deterioration that, in the judgment of the investigator, is related to intracranial hemorrhage confirmed by CT or MRI, within 36 hours of administration of Alteplase.

Quality of life by the EuroQOL EQ-5D90 days

EuroQOL will be treated as a continuous measure

Stroke disability by the Stroke-Impact Scale-1690 days

SIS-16 will be treated as a continuous measure

Proportion of patients not independent at 30 days30 days

Proportion of patients with modified Rankin Scale 2-6 at 30 days.

Independence with Activities of Daily Living by the Barthel Index90 days

BI will be treated as a continuous measure; pre specified analysis include proportion of patients with Barthel Index \<95

Trial Locations

Locations (97)

HonorHealth

🇺🇸

Scottsdale, Arizona, United States

Southern California Permanente Medical Group / Downey

🇺🇸

Pasadena, California, United States

Long Beach Memorial Medical Center

🇺🇸

Long Beach, California, United States

Memorial Hospital Central

🇺🇸

Colorado Springs, Colorado, United States

Chandler Regional Medical Center

🇺🇸

Chandler, Arizona, United States

Medical Center, Navicent Health

🇺🇸

Macon, Georgia, United States

WellStar Health System-Kennestone Hospital

🇺🇸

Marietta, Georgia, United States

Central DuPage Hospital Association

🇺🇸

Winfield, Illinois, United States

Baptist Health Lexington

🇺🇸

Lexington, Kentucky, United States

Ocean Medical Center

🇺🇸

Brick, New Jersey, United States

Hackensack Meridian Health/Jersey Shore University Medical Center

🇺🇸

Neptune, New Jersey, United States

Osceola Regional Medical Center

🇺🇸

Kissimmee, Florida, United States

Lutheran Hospital

🇺🇸

Fort Wayne, Indiana, United States

Wesley Medical Center

🇺🇸

Wichita, Kansas, United States

Alexian Brothers

🇺🇸

Arlington Heights, Illinois, United States

Ascension-Borgess

🇺🇸

Kalamazoo, Michigan, United States

Methodist Hospitals

🇺🇸

Gary, Indiana, United States

Crouse Hospital

🇺🇸

Syracuse, New York, United States

King's Daughters Medical Center

🇺🇸

Ashland, Kentucky, United States

Berkshire Medical Center

🇺🇸

Pittsfield, Massachusetts, United States

Mercy Hospital St. Louis

🇺🇸

Saint Louis, Missouri, United States

Saint Vincent Hospital

🇺🇸

Erie, Pennsylvania, United States

Pomona Valley Hospital Medical Center

🇺🇸

Pomona, California, United States

The Hospital of Central Connecticut

🇺🇸

New Britain, Connecticut, United States

Sacred Heart Hospital

🇺🇸

Pensacola, Florida, United States

Memorial Medical Center

🇺🇸

Springfield, Illinois, United States

Mississippi Baptist Medical Center

🇺🇸

Jackson, Mississippi, United States

St. Joseph's Regional Medical Center

🇺🇸

Paterson, New Jersey, United States

The Valley Hospital

🇺🇸

Ridgewood, New Jersey, United States

SUNY Downstate Medical Center

🇺🇸

Brooklyn, New York, United States

Pennsylvania State University / The Milton S. Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Greenville Memorial Hospital

🇺🇸

Greenville, South Carolina, United States

JPS Health Network

🇺🇸

Fort Worth, Texas, United States

Clear Lake Regional Medical Center

🇺🇸

Webster, Texas, United States

Good Samaritan Hospital

🇺🇸

Los Angeles, California, United States

Kaiser Permanente South California

🇺🇸

Los Angeles, California, United States

Intermountain Medical Center Neuroscience Institute

🇺🇸

Murray, Utah, United States

Ohio State University Wexner Medical Center

🇺🇸

Columbus, Ohio, United States

University of Vermont

🇺🇸

Burlington, Vermont, United States

Overlake Hospital Medical Center

🇺🇸

Bellevue, Washington, United States

West Virginia University

🇺🇸

Morgantown, West Virginia, United States

Boston Medical Center

🇺🇸

Boston, Massachusetts, United States

Seton Medical Center-Brackenridge

🇺🇸

Austin, Texas, United States

Jackson Memorial Hospital

🇺🇸

Miami, Florida, United States

St. Vincent Hospital Indianapolis

🇺🇸

Indianapolis, Indiana, United States

Rochester General Hospital

🇺🇸

Rochester, New York, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

Scott & White Memorial Hospital

🇺🇸

Temple, Texas, United States

MetroHealth Medical Center

🇺🇸

Cleveland, Ohio, United States

Henry Ford Health System

🇺🇸

Detroit, Michigan, United States

Ascencion-St. John Providence

🇺🇸

Detroit, Michigan, United States

University of Cincinnati Medical Center

🇺🇸

Cincinnati, Ohio, United States

INTEGRIS Baptist Medical Center

🇺🇸

Oklahoma City, Oklahoma, United States

Mercy Hospital

🇺🇸

Oklahoma City, Oklahoma, United States

Providence St. Vincent

🇺🇸

Portland, Oregon, United States

Legacy Emanuel Medical Center

🇺🇸

Portland, Oregon, United States

St. Anthony's Medical Center

🇺🇸

Saint Louis, Missouri, United States

New York Methodist Hospital

🇺🇸

Brooklyn, New York, United States

Univ of Rochester - Strong Memorial Hospital

🇺🇸

Rochester, New York, United States

Riverside University Health System Medical Center

🇺🇸

Moreno Valley, California, United States

Providence Holy Cross Medical Center

🇺🇸

Mission Hills, California, United States

Morton Plant Mease Healthcare

🇺🇸

Tampa, Florida, United States

Aurora BayCare Medical Center

🇺🇸

Milwaukee, Wisconsin, United States

Aurora Medical Center Grafton

🇺🇸

Milwaukee, Wisconsin, United States

Aurora St. Luke's Medical Center

🇺🇸

Milwaukee, Wisconsin, United States

Parkview Research Center

🇺🇸

Fort Wayne, Indiana, United States

Saint Peter's Hospital

🇺🇸

Albany, New York, United States

Orange County Global Medical Center

🇺🇸

Santa Ana, California, United States

Eastern Maine Medical Center

🇺🇸

Bangor, Maine, United States

Spectrum Health

🇺🇸

Grand Rapids, Michigan, United States

Mercy Hospital of Buffalo

🇺🇸

Buffalo, New York, United States

SSM Health Care St. Louis

🇺🇸

Saint Louis, Missouri, United States

Faxton St. Luke's Healthcare

🇺🇸

Utica, New York, United States

Cox Medical Centers

🇺🇸

Springfield, Missouri, United States

Carolinas HealthCare System

🇺🇸

Charlotte, North Carolina, United States

Carolina Healthcare Blue Ridge

🇺🇸

Morganton, North Carolina, United States

Kaiser Permanente Northwest Sunnyside Medical Center

🇺🇸

Clackamas, Oregon, United States

Saint Francis Hospital

🇺🇸

Tulsa, Oklahoma, United States

UPMC Altoona

🇺🇸

Altoona, Pennsylvania, United States

UPMC Hamot

🇺🇸

Erie, Pennsylvania, United States

Houston Methodist Hospital

🇺🇸

Houston, Texas, United States

Bon Secours Hampton Roads

🇺🇸

Norfolk, Virginia, United States

Norton HealthCare

🇺🇸

Louisville, Kentucky, United States

Novant Forsyth Medical Center

🇺🇸

Winston-Salem, North Carolina, United States

Kaiser Permanente Northern California (Sacramento)

🇺🇸

Sacramento, California, United States

Florida Hospital

🇺🇸

Orlando, Florida, United States

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

University of Louisville

🇺🇸

Louisville, Kentucky, United States

Shands Hospital- University of Florida

🇺🇸

Gainesville, Florida, United States

The Queen's Medical Center

🇺🇸

Honolulu, Hawaii, United States

Ochsner Medical Center

🇺🇸

New Orleans, Louisiana, United States

St. Luke's Neuroscience Institute

🇺🇸

Kansas City, Missouri, United States

Albert Einstein College of Medicine-Montefiore Medical Center

🇺🇸

Bronx, New York, United States

Seton Medical Center

🇺🇸

Austin, Texas, United States

St. David's Medical Center/Neuro Texas Institute

🇺🇸

Austin, Texas, United States

Conemaugh Memorial Medical Center

🇺🇸

Johnstown, Pennsylvania, United States

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

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