NCT02212912

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

Cluster-randomized Trial of a Targeted Multifaceted Intervention to Bridge the Evidence-based Gap in the Management of Acute Ischemic Stroke

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 4,800 (actual)
• Sponsor: Beijing Tiantan Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

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.

Detailed 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

Conditions

• Ischemic Stroke

Interventions

Type	Name	Description
BEHAVIORAL	improvement intervention	Evidence-based clinical pathway: It contained general guideline-based recommendations about acute stroke management. Standard operating procedures (SOP) of performance indicators. A quality coordinator:The role of the quality coordinator includes interacting with physicians once gaps in the incorporation of evidence-based interventions are identified, ensuring that all components of the quality improvement intervention are being used for every acute ischemic stroke (AIS) patient.Monitoring and feedback system of performance measures. The system could view the level of implementation of prespecified performance measures at any time (per week recommended) , compare with the previous record of own study site and level of other clusters.
BEHAVIORAL	no intervention	No intervention indicated that the physicians among control hospital provide routine

Timeline

• Start date: 2014-08-10
• Primary completion: 2015-06-20
• Completion: 2016-07-30
• First posted: 2014-08-08
• Last updated: 2020-07-13

Locations

1 site across 1 country: China