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StroCare - Optimised Cross-sectoral,Coordinated Treatment of Stroke Patients With Patient-orientated Outcome Measurement

Not Applicable
Completed
Conditions
Stroke
Interventions
Other: optimized cross-sectoral, structured and coordinated treatment pathway that integrates a patient-centred outcome evaluation
Registration Number
NCT04159324
Lead Sponsor
Universitätsklinikum Hamburg-Eppendorf
Brief Summary

The Trial is a multi-centred controlled interventional study with a pre-post design. The primary aim of the study is the evaluation of the effectiveness and cost-effectiveness of the StroCare treatment.

Detailed Description

Stroke is the second most common cause of death in Germany and the most common cause for life-long disability in adulthood. After stroke, patients often experience incisive changes in their health, daily routine and quality of life. The developed model of care (StroCare treatment) forms a cross--sectoral, structured and coordinated treatment pathway that integrates a patient-centred outcome evaluation. It aims to optimize the transition from acute inpatient treatment after an acute stroke to the ambulant neurological rehabilitation treatment. This is done firstly by creating an electronic portal solution for a safe and coordinated transmission of clinical data between the three participating hospitals and five stroke-specialized ambulant rehabilitation clinics and secondly by introducing a case-manager provided by the participating health insurance agency for patient support and aftercare coordination. The presented study is a multi-centred controlled interventional study with a pre-post design. Stroke patients in both groups are assessed after the index ischemic event and 12 months thereafter. Further sources of information are the medical record, the electronic portal (only intervention group), and routine data provided by the collaborating BARMER health insurance agency (for the Intervention and control group and additionally for a historic control). The main hypotheses are : (1) The StroCare treatment is more effective than the routine aftercare treatment (primary outcome: patient-reported physical quality of life) and (2) the StroCare treatment reduces costs for care and in the inpatient sector by providing more coordinated and thorough rehabilitation and outpatient aftercare.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
409
Inclusion Criteria
  • Patients in inpatient care in the stroke unit of one of the participating acute clinics who are insured at the BARMER health insurance agency with the following diagnosis (ICD-10):
  • Ischemic attack (I63)
  • Transient ischemic attack and related syndromes (G45)
  • Intracerebral haermorrhage (I64)
  • Written informed consent
  • Sufficient mastery of German language
Exclusion Criteria
  • Substantially impaired communication capacity due to aphasia or dementia
  • Patients with artificial Respiration
  • Insufficient adherence
  • Premorbid score of mRS≥4
  • Patients with artificial Respiration (Z99.1)
  • Dementia (F00.x., F01.x. or G30.x) or aphasia (R47)
  • Death during inpatient Treatment or the Admission to a nursing home following the acute treatment

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
StroCare treatment groupoptimized cross-sectoral, structured and coordinated treatment pathway that integrates a patient-centred outcome evaluationOptimized cross-sectoral, structured and coordinated treatment pathway that integrates a patient-centred outcome evaluation
Primary Outcome Measures
NameTimeMethod
Patient-reported physical QoL: PROMIS-101 year after index ischemic event

Patient-reported physical Quality of Life measured with Patient-Reported Outcomes Measurement Information System-10 (PROMIS-10); one of two provided global scores: Global Physcial Health with scores ranging from 0-20 and higher scores indicating better health state.

Secondary Outcome Measures
NameTimeMethod
Patient-reported mental QoL1 year after index ischemic event

Patient-reported mental Quality of Life measured with Patient-Reported Outcomes Measurement Information System-10 (PROMIS-10); one of two provided global scores: Global Mental Health with scores ranging from 0-20 and higher scores indicating better health state.

Patient' s waiting time between Treatment phases (Transition) to the ambulant neurological Rehabilitation Treatment)1 year after index ischemic event

Waiting time extracted from the medical record and the electronic Portal (only Intervention Group)

Functional Status modified Rankin Scale questionnaire (smRSq)1 year after index ischemic event

Functional Status measured with the modified Rankin Scale (mRS); the nRS ranges from 0 (no disability) to 6 (death)

Success in reahin target values of relevant risk factors (individually defined target values based on available guidelines): blood pressure1 year after index ischemic event

Current values Blood Pressure will be extracted from the medical record and the electronic portal and compared to the individually defined target values based on current guidelines and individuall assessement of the overall patient's situation

Utilisation of health care Services1 year after index ischemic event

Utilisation of health care Services extracted from the medical record and the electronic Portal (only Intervention Group), i.e., number of admissions to hospital, number of outpatient contacts, weekly hours of physiotherapy, speech therapy, occupational therapy

Success in reahin target values of relevant risk factors (individually defined target values based on available guidelines): LDL-cholesterol1 year after index ischemic event

Current values of LDL-cholesterol will be extracted from the medical record and the electronic portal and compared to the individually defined target values based on current guidelines and individuall assessement of the overall patient's situation

Success in reahin target values of relevant risk factors (individually defined target values based on available guidelines): HbA1c1 year after index ischemic event

Current values of HbA1c will be extracted from the medical record and the electronic portal and compared to the individually defined target values based on current guidelines and individuall assessement of the overall patient's situation

Costs1 year after index ischemic event

Routine data

Stroke recurrence1 year after index ischemic event

Stroke recurrence measured with the ICHOM Standard set

Patient-reported mental health status1 year after index ischemic event

Patient reported mental health Status measured with the Patient health questionnaire (PHQ-4); the questionnaire provides two sub-scores measuring anxiety and depression with scores ranging from 0-6 each with higher scores indiciating more symptoms of anxiety or depression, respectively

Overall survival1 year after index ischemic event

Overall survival measured with the ICHOM Standard set

Trial Locations

Locations (1)

University Medical Center Hamburg-Eppendorf

🇩🇪

Hamburg, Germany

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