Intervention to Bridge the Evidence-based Gap in Stroke Care Quality (GoldenBridge)

Capital Medical University

Status: Completed

Conditions: Ischemic Stroke

Treatments: Behavioral: no intervention; Behavioral: improvement intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT02212912

aic2014

Details and patient eligibility

About

The purpose of this study is to evaluate whether a multifaceted quality improvement intervention can improve the adherent rate of individual and composite of evidence-based performance measures for patients with acute ischemic stroke within the first 7 days of symptom onset and reduce the incidence of a new clinical vascular event, disability, and all-cause mortality at discharge and long term clinical outcome.

Full description

Study population:

patients with acute ischemic stroke who were admitted to the hospital within 7 days after the initial symptom onset.

Program:

There are multifaceted quality improvement interventions including:

1. Evidence-based clinical pathway
2. Standard operating procedures (SOP) of performance indicators
3. A quality coordinator
4. Monitoring and feedback system of performance measures

Endpoints:

Primary outcome:increase of adherence of evidence based treatment in clinical practice; Secondary outcome: total mortality, disability, and major cerebrovascular events

Enrollment: 4,800 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Older than 18
• Ischemic stroke within 7 days of the index event
• Direct admission based on physician evaluation or arrival through the emergency department
• Ability of patient or legally authorized representative to provide informed consent for 3, 6,and 12 months after initial symptom onset
• Eligible events were confirmed by brain ct or mri within7 days after the onset of symptoms

Exclusion criteria

• Patients refuse to participate in this study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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4,800 participants in 2 patient groups

Improvement intervention

Other group

Description:

Improvement intervention is a multifaceted quality improvement method including evidence-based clinical pathway, standard operating procedures (SOP) of performance indicators, a quality coordinator, and monitoring and feedback system of performance measures.

Treatment:

Behavioral: improvement intervention

no intervention

Other group

Description:

The control group indicated that the physicians will not be provided with the information of multifacet improvement tools including evidence-based clinical pathway, standard operating procedures (SOP) of performance indicators a quality coordinator, and monitoring and feedback system of performance measures. They just provide patients with routine care

Treatment:

Behavioral: no intervention