Quality Assessment in Acute Stroke Care

Quality of Acute Stroke Care Evaluated With a Clinical Pathway on a 16 Bed Stroke Unit - a Prospective Trial

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT00574262

Acronym

QuASt

Enrollment

400

Registered

2007-12-17

Start date

2007-10-31

Completion date

2009-04-30

Last updated

2010-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Ischemic Stroke

Keywords

acute ischemic stroke, clinical pathway, quality of care, secondary prevention

Brief summary

The purpose of the study is to evaluate the quality of care on a 16 bed stroke unit by using a new developed clinical pathway.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

* admission to the stroke unit of the university hospital in Muenster, Germany * acute ischemic stroke or transient ischemic attack

Exclusion criteria

* intracerebral haemorrhage * neurological symptoms due to other pathology than acute ischemic stroke or transient ischemic attack * intraarterial thrombolysis * necessity of artificial ventilation

Design outcomes

Primary

Measure	Time frame
frequency of patients monitored according to the specific german procedure standard (OPS-code 8-981) (preset target 90 - 95 %)	duration of stay on stroke unit

Secondary

Measure	Time frame
frequency of initiated or improved antithrombotic secondary prevention (preset target 90 - 95 %)	duration of stay on stroke unit
frequency of initiated or improved statin therapy (preset target 40 - 50 %)	duration of stay on stroke unit
frequency of stroke been classified according to the TOAST criteria (preset target 55 - 65 %)	duration of stay on stroke unit
frequency of initiated or improved antihypertension therapy and reduction of systolic and diastolic blood pressure by more than 10 mmHg (preset target 60 - 70 %)	duration of stay on stroke unit
frequency of a reduction on the NIH-SS by at least two points (preset target 50 - 60 %)	duration of stay on stroke unit
frequency of totally completed clinical diagnostics regarding the etiology of the stroke (preset target 60 -70 %)	duration of stay on stroke unit

Countries

Germany

Contacts

Primary ContactWolf Rüdiger Schäbitz, MD

schabitz@uni-muenster.de0049-251-8345235

Outcome results