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Идёт набор NCT02693223

Get With the Guidelines-Stroke Registry

— Наблюдательное Stroke

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: GWTG Stroke program.
Кому может быть актуально
Состояния в реестре: Stroke. Базовые параметры: 18 лет — 125 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
США
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

Get With The Guidelines-Stroke is a program for improving the quality of care for patients hospitalized with stroke by promoting consistent adherence to the latest evidence-based clinical practice guidelines.

Подробное описание

Get With The Guidelines®-Stroke is an in-hospital program for improving stroke care by promoting consistent adherence to the latest scientific treatment guidelines. Since its initiation in 2003, 2,637 hospitals have entered 3,892,063 patient records into the Get With The Guidelines-Stroke database. Numerous published studies demonstrate the program's success in achieving measurable patient outcome improvements.

Achievement measures tracked through the Get With The Guidelines®-Stroke:

* IV rT-PA arrive by 3.5 hour, treat by 4.5hour * Early antithrombotics * VTE prophylaxis * Antithrombotics at or by discharge * Anticoagulation for Afib/Aflutter at or by discharge * Smoking cessation at or by discharge * Intensive Statin Therapy

Quality measures tracked through the Get With The Guidelines®-Stroke:

* Dysphagia screen * Time to intravenous thrombolytic therapy-60 min * NIHSS reported * Stroke education at or by discharge * Rehabilitation considered at or by discharge * LDL Documented

Additional measures collected by Get With The Guidelines®-Stroke can be viewed at: https://www.heart.org/en/professional/quality-improvement/get-with-the-guidelines/get-with-the-guidelines-stroke/get-with-the-guidelines-stroke-patient-management-tool

Вмешательства

  • Другое GWTG Stroke program
    Evidence based recommended therapies and counseling prior to hospital discharge.

Первичные конечные точки

  • In-hospital mortality [Срок оценки: 6 days - mean for length of hospitalization for Stroke patients]
  • Modified Rankin Scale at Discharge [Срок оценки: 6 days - mean for length of hospitalization for Stroke patients]
  • Risk-Adjusted Mortality Ratio (for Ischemic-Only and Ischemic and Hemorrhagic models) [Срок оценки: 30 days post discharge from hospital]

Критерии участия

Критерии включения

  • Patients presented with a diagnosis of Ischemic stroke or transient ischemic attack, Subarachnoid hemorrhage, Intracerebral hemorrhage, or Stroke not otherwise specified to the hosptials.

Критерии исключения

  • Patients who do not have a diagnosis of Ischemic stroke or transient ischemic attack, Subarachnoid hemorrhage, Intracerebral hemorrhage, or Stroke not otherwise specified.
  • Patients under age of 18

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Модель наблюдения
Когортное

Центры проведения

США · 1 центр
  • Amy Bennett — Dallas

Публикации

  • Mulder MJ, van Oostenbrugge RJ, Dippel DW; MR CLEAN Investigators. Letter by Mulder et al Regarding Article, "2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association". Stroke. 2015 Nov;46(11):e235. doi: PMID 26451021
  • Hemphill JC 3rd, Greenberg SM, Anderson CS, Becker K, Bendok BR, Cushman M, Fung GL, Goldstein JN, Macdonald RL, Mitchell PH, Scott PA, Selim MH, Woo D; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the Ameri PMID 26022637
  • Meschia JF, Bushnell C, Boden-Albala B, Braun LT, Bravata DM, Chaturvedi S, Creager MA, Eckel RH, Elkind MS, Fornage M, Goldstein LB, Greenberg SM, Horvath SE, Iadecola C, Jauch EC, Moore WS, Wilson JA; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Functional Genomics and Translational Biology; Council on Hyperte PMID 25355838
  • Saver JL, Carroll JD, Smalling R, Thaler D. Letter by Saver et al regarding article, "Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association". Stroke. 2015 Apr;46(4):e85-6. doi: 10.1161/STROKEAHA.115.007311. Epub 2015 Mar 5. No abstract available. PMID 25744518
  • Powers WJ, Derdeyn CP, Biller J, Coffey CS, Hoh BL, Jauch EC, Johnston KC, Johnston SC, Khalessi AA, Kidwell CS, Meschia JF, Ovbiagele B, Yavagal DR; American Heart Association Stroke Council. 2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline PMID 26123479

Идентификаторы

NCT: NCT02693223 · 001

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗