Tele-stroke versus Stroke physician in Management of Acute Stroke
- Conditions
- Health Condition 1: I60-I69- Cerebrovascular diseases
- Registration Number
- CTRI/2021/11/038196
- Lead Sponsor
- DHR ICMR
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion criteria for unit of cluster (district hospital)
1. District hospitals where only non-stroke physicians are available
2. Physicians should have experience of using a smartphone with 24/7 internet access
3. Availability of CT scan
Individual level
1. Age greater than or equal to 18 years
2. Diagnosis of acute Ischemic stroke ( <2 weeks of onset of symptoms) with sudden onset focal neurological symptoms of presumed vascular origin
3. Provide written, informed consent to receive the intervention
Exclusion criteria for unit of cluster (district hospital)
1. Availability of a neurologist in the hospital
2. Lack of smart phone or internet access
Individual level
1. Patients not with terminal illness
2. Not willing to give consent
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary outcome will be the composite score (percentage) of performance of stroke care bundle. Highest score (100%) will be achieved if all the eligible patients received the standard stroke care bundle. 24 measures are grouped into 4 bundles (acute management, in-hospital management, Discharge advice, and follow up)Timepoint: 1 month and 3 months
- Secondary Outcome Measures
Name Time Method Proportion of patients achieving mRS 0-2Timepoint: 1 month and 3 months;Proportion of patients who received Aspirin within 48 hrsTimepoint: 1 month and 3 months;Proportion of patients who received Dysphagia screening testTimepoint: 1 month and 3 months;Proportion of patients who received RehabilitationTimepoint: 1 month and 3 months;Proportion of patients who received Smoking cessation counsellingTimepoint: 1 month and 3 months;Proportion of patients who received statinsTimepoint: 1 month and 3 months;Proportion of patients who received Venous thromboembolism prophylaxisTimepoint: 1 month and 3 months;Proportion of patients who were evaluated for physiotherapy within 48 hrsTimepoint: 1 month and 3 months;Proportion of patients with AF who received AnticoagulantsTimepoint: 1 month and 3 months;Proportion of patients with newly diagnosed Atrial fibrillationTimepoint: 1 month and 3 months;Proportion of patients without AF who received antipalteletsTimepoint: 1 month and 3 months