Ischemic stroke
Conditions
Interventions
Control Group:Multi-measure Stroke 120 Action
Control Group:Routine health policy
Sponsors
Shanghai Minhang District Centeral Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.The 2 participating community units in each region should each have a permanent population over 110,000 (people aged 60 years and above accounting for at least 15%), have similar demographic characteristics (e.g., age, gender, and education level), and have comparable local health policies (e.g., medical insurance policies, emergency system framework, stroke emergency map release, and stroke center quality control), economic levels, and public ability to recognize AIS. 2.The participating hospitals in each community unit serve >90% of AIS patients within the community unit, have a well-established stroke center, and have comparable standardized treatment capabilities for AIS (including 4.5-hour hospital arrival rate of AIS, rate of using 120 emergency ambulances after AIS, and rate of IVT after AIS). 3.The participating communities are capable of implementing STROKE 120 multifaceted intervention campaign within its community unit. 4.To avoid cross-contamination, the physical distance between any two community units exceeds 20 kilometers.
Exclusion criteria
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Arriving hospital within 4.5 hours after symptom onset among incident acute ischemic stroke cases within participating community units; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intravenous thrombolysis after acute ischemic stroke;Total hospitalization costs;All-cause mortality within 3 months after acute ischemic stroke;Out-of-pocket hospitalization costs;Time from onset to action after acute ischemic stroke;Time from onset to hospital admission after acute ischemic stroke;Use of 120 emergency ambulances after acute ischemic stroke;Mechanical thrombectomy after acute ischemic stroke;Ordinal 7-level modified Rankin Scale score at 3 months after acute ischemic stroke;Composite outcome of death or major disability at 3 months after acute ischemic stroke; | — |
Countries
China
Contacts
Public ContactJing Zhao
Shanghai Minhang District Centeral Hospital
Outcome results
None listed