Managing Aftercare for Stroke (MAS): MAS-II - A Longitudinal Complex-interventional Study in Post-rehabilitation Stroke Patients
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About
After discharge from hospital, the current healthcare system in Germany allows considerable flexibility (therefore complexity) of patient access and mobility between multiple care providers in the community setting. The investigators believe this aftercare could be better coordinated by a specialized coordinated stroke aftercare service. Comprehensive coordinated multidisciplinary care is a proven concept with proven benefits in both acute and rehabilitation care provided in stroke units and neurorehabilitation centres. In this study, the investigators postulate that a similar coordinated approach to care can be extended to the phase after in-patient rehabilitation has ended (i.e. "long-term management" as opposed to "early supported discharge") for disabled patients with stroke living in the community.
Enrollment
Sex
Ages
Volunteers
Inclusion criteria
- Patients with ischemic stroke
- Age ≥18 years
- At the time of V1 completion of rehabilitation or no rehabilitation planned
- Informed consent signed by patient or legal representative
- stroke patients with a stratified mRS score
- within six months after the index event
Exclusion criteria
- Unwillingness to participate in "AmbulanzPartner"
- Unwilling to have pseudonymized data stored, analysed, and anonymously published
- Patients being committed to psychiatric institutions or prisons
Trial design
Primary purpose
Allocation
Interventional model
Masking
61 participants in 1 patient group
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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