Implementation of Clinical Pathway to Improve Quality of Healthcare in Stroke Inpatients
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
- 否
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
Ta-Sen Wei,MD
Director, Physical Medical and Rehabilitation, Principal Investigator,
Changhua Christian Hospital
