I63 I64 G45
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: I 01. Male and female juvenile stroke patients aged 18 to 55 years and older stroke patients >55 years I 02. Written informed consent by the patient, if capable, or their legal representatives, if available, obtained at the latest prior to the three months follow-up visit.
Exclusion criteria
Exclusion criteria: E 01. The patient is directly involved in the conduct of the protocol: the investigator or subinvestigator, research assistant, pharmacist, study coordinator, other staff or relatives thereof. E 02. Refusal of consent, in patients/legal representatives capable of giving informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To validate a prediction score for a good outcome (mRS 0-2 or back to baseline) three months after juvenile stroke by assessing its discrimination using the AUC of the ROC (H0: AUC < 0.7) | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinical secondary endpoints: * Recurrent ischemic or haemorrhagic stroke/TIA three months after index stroke * Other vascular events (myocardial infarction, vascular death) * Quality of life (EQ5D5L) * Depression (BDI) * Cognitive assessment (MoCA) Paraclinical secondary endpoints: * Laboratory parameters (e.g. cholesterol, triglycerides) * CT/MRI (recurrent ischemic or haemorrhagic stroke on imaging) * Doppler/duplex sonography (extent of macroangiopathy, Intima-media thickness, IMT) Outcomes: * Determining to what extent predictive factors in juvenile stroke/TIA patients differ from those in older patients with stroke/TIA * Cut-off values for treatment decision making together with related sensitivity, specificity and predictive values * Correlation of the juvenile stroke prediction score with changes in clinical scores (NIHSS, mRS) * Correlation of the juvenile stroke prediction score with quality of life (EQ5D5L), depression (BDI) and cognitive function (MoCA) * Correlation of biomarker data with clinical or paraclinical outcome parameters * Predictive accuracy of the juvenile stroke prediction score on other secondary clinical and paraclinical endpoints * Calibration of the juvenile stroke prediction score, Brier Score, and “concordance statistic for benefit” * Quantifying the amount of overfitting which occurred in the analysis of the retrospective patient cohort by comparing ROCs and AUCs between the retro- and prospective patient cohorts. | — |
Countries
Germany
Contacts
Neurologische Klinik und Poliklinik, LMU Klinikum, LMU München