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IMPROVE Stroke Care- Developing and Optimizing Regional Systems of Stroke Care

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Duke University

Status

Completed

Conditions

Subarachnoid Hemorrhage
Intracranial Hemorrhages
Acute Stroke

Study type

Observational

Funder types

Other
Industry

Identifiers

NCT04242784
Pro00076593

Details and patient eligibility

About

The purpose of this program is to develop a regional integrated stroke system that identifies, classifies, and treats patients with acute ischemic stroke more rapidly and effectively with reperfusion therapy.

Full description

The design is based upon the implementation of best practice, that is, based on a comprehensive review of AHA guidelines regarding treatment of acute stroke, ICH (intracranial hemorrhage) and SAH(sub arachnoid hemorrhage). In the second phase, the project will be doing national and international surveys of best practices among comprehensive stroke centers and then combine evidence based guidelines and recommendation as well as expert consensus and guidelines when high level evidence is not available from the published literature. The aim to improve public stroke awareness, stroke symptom recognition within the time benefit window for treatment and calling 9-1-1, EMS transportation, and the proportion and speed of reperfusion therapy (fibrinolytic and in appropriate patients- endovascular treatment) in eligible patients. These improvements in acute stroke care delivery are expected to result in lower mortality, fewer recurrent strokes, and improved long term functional outcomes that we will measure.

Enrollment

21,646 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Adult patients > 18 years of age who undergo the local acute code stroke process

Exclusion criteria

  • In house patients with stroke are not included in this data set.

Trial design

21,646 participants in 3 patient groups

Spoke Hospital
Description:
Patients that undergo the Code Stroke process at Spoke Hospitals
Hub Hospital
Description:
Patients that undergo the Code Stroke process at Hub Hospitals
Transfer
Description:
Patients that undergo the Code Stroke process at a Spoke Hospital and transfer to the Hub Hospital

Trial contacts and locations

9

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Data sourced from clinicaltrials.gov

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