To initiate a stroke cohort to inform the relationship between frailty, multi-morbidity, socioeconomic status and clinical outcome in TIA and stroke. Nervous System Diseases Transient cerebral ischaemic attacks and related syndromes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. TIA, ischaemic or haemorrhagic stroke in the last: 6 weeks (subacute group), or 6 weeks to 3 years (chronic group) 2. Age >40 years 3. Written consent from participant or proxy
Exclusion criteria
Exclusion criteria: 1. Probable stroke mimic (e.g. migraine, functional neurology, brain tumour) 2. Life expectancy <3 months 3. Not expected to complete follow up at day 90 (e.g. homeless, out-of-area) 4. Level of consciousness prohibits engagement in baseline measures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Frailty will be measured using the CFS, PRISMA 7 and FI-GCA at baseline and day 90. 2. Functional outcome will be measured using the MRS at baseline and day 90. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Frailty will be measured using the CFS, PRISMA 7 and FI-GCA at baseline and day 90. 2. Disability will be measured using the Barthel Index (BI) at baseline and day 90. 3. Dysphagia will be measured using the Dysphagia Severity Rating Scale (DSRS) at baseline and day 90 4. Cognition will be measured using the Montreal Cognitive Assessment (MoCA) and Telephone Mini Mental State Examination (t-MMSE) at baseline and day 90 5. Mood will be measured using the Geriatric Depression Scale (GDS) and Zung Depression Scale (ZDS) at baseline and day 90. 6. Inequality will be measured using the English Indices of Deprivation scale at baseline and day 90. 7. Fatigue will be measured using the Fatigue Assessment Scale (FAS) at baseline and day 90. 8. Co-morbidity will be measured using the Charleston Co-morbidity Index (CCI) at baseline. | — |
Countries
England, United Kingdom