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临床试验/NCT02978794
NCT02978794Unknown不适用

Implementation of Clinical Pathway to Improve Quality of Healthcare in Stroke Inpatients

Changhua Christian Hospital0 个研究点目标入组 300 人开始时间: 2016年11月最近更新:
适应症

试验速览

阶段
不适用
入组人数
300
主要终点
functional independent measurement

研究概览

简要总结

With the extension of the average life expectancy, the incidence of cardiovascular diseases is also rising. Stroke in Taiwan has been the leading cause of morbidity and mortality, but also in countries around the world), stroke and the impact of socio-economic and health spending are large how to reduce the degree of disability after stroke is an important issue in medicine. For a long time, the resident will fill the clinical pathway form before the stroke inpatients were discharged. We also analyzed the data of clinical pathway every three months.

According to the current data of stroke clinical pathway included demographic data, length of hospitalization days, complications, functional independent measure, Brunnstrom motor recovery stage, mini-mental state examination, geriatric depression scale, blood pressure data, and post-stroke checklist for a retrospective analysis to provide more complete and more comprehensive information on follow-up care for stroke patients and effective use of medical resources, to improve the quality of future medical care and quality of life for stroke patients.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
20 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Ischemic and hemorrhagic stroke patients
  • MRI confirmed the diagnosis of stroke
  • Within three months of onset of unilateral limb hemiplegia in patients

排除标准

  • Initial tracheostomy impantation and hospital stay is less than 5 days
  • Combined with other neurological diseases, such as epilepsy, multiple neuropathy, Meniere's disease, vestibular neuritis, Parkinson's disease, dementia or cerebellar atrophy, etc.
  • Significant lesions of the lower limb joints, including joint contractures, lower limb fractures, joint replacement or long-term pain in patients with osteoarthritis
  • Unstable signs of life (if not through the tilt bed test) or severe cardiopulmonary disease
  • Those who can not cooperate with the study or who have not signed the inform consent

结局指标

主要结局

functional independent measurement

时间窗: 1 year

post-stroke checklist

时间窗: 1 year

Brunnstrom motor recovery stage

时间窗: 1 year

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Ta-Sen Wei,MD

Director, Physical Medical and Rehabilitation, Principal Investigator,

Changhua Christian Hospital

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