cerebral vascular disease
Conditions
Interventions
experimental group:Wechat mini-program management
control group:traditional telephone management
Sponsors
Yao Zhu
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: Inclusion Criteria: First-time stroke (ischemic). Age between 18 to 85 years old. Modified Rankin Scale (mRS) score =4 (mild to moderate disability). At least one vascular risk factor that requires medical intervention, including: hypertension, hyperlipidemia, smoking, alcohol abuse, diabetes, lack of exercise, poor mood, overweight, and genetic factors, etc. Consent to participate in the study and follow up, including stroke survivors and caregivers. Having a designated caregiver at home who is responsible for follow-up and care, and has an internet-accessible computer, smartphone, or other smart device (iOS or Android platform). The stroke is medically stable, and the participant can return to normal community life after discharge from the hospital (thus excluding patients related to valve removal surgery, carotid artery endarterectomy, and hospital-acquired sepsis treatment). The patient himself or his legal representative signs the informed consent form.
Exclusion criteria
Exclusion criteria: Exclusion Criteria: Severe aphasia, visual neglect, short-term memory loss, dementia. Iatrogenic stroke, that is, caused by non-atherosclerotic vascular diseases and rare causes, such as carotid artery dissection, coronary artery bypass surgery. Stroke patients/caregivers who continue post-stroke rehabilitation in professional care institutions or hospital environments and do not return to the community after discharge. Serious comorbidities, such as cancer, kidney failure, mental disorders, that affect disease assessment, exclude patients requiring stroke prevention drugs or non-standardized treatment. Any use of drugs beyond the instructions, non-guided use of drugs. Pregnant or lactating women. Expected lifespan <1 year. Currently participating in other clinical trials. Patients who cannot complete a 90-day follow-up (such as those without a fixed address, overseas patients, etc).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| sttoke mortality ;stroke recurrence rate;Rehospitalization rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Control of risk factors (blood pressure, blood lipids, smoking, alcohol abuse, diabetes, exercise, mood, BMI, and genetic factors, etc.);Disease awareness rate;Follow-up man-hours and cost; | — |
Countries
China
Contacts
Public ContactYao Zhu
The First Affiliated Hospital of university of Science and Technology of China
Outcome results
None listed