Managing Aftercare for Stroke (MAS): MAS-I - a Cross Sectional Study of Post-rehabilitation Stroke Burden and Patients' Needs

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02320994

Acronym

MAS-I

Enrollment

Registered

2014-12-19

Start date

2014-11-30

Completion date

2015-12-31

Last updated

2022-01-04

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

Conditions

Ischemic Stroke

Keywords

stroke, aftercare

Brief summary

In this first step of the study the investigators will assess the needs, disease burden and current treatments of long-term stroke patients (phase MAS-I). The ultimate aim of the complete MAS project (MAS I, II & III) is the development of a model of stroke aftercare delivery that can be evaluated to estimate effects in both our local and the wider stroke population.

Detailed description

After discharge from hospital the current healthcare system in Germany allows considerable flexibility (therefore complexity) of patient access and mobility between multiple care providers in the community setting. The investigators believe this aftercare could be better coordinated by a specialized coordinated stroke aftercare service. Comprehensive coordinated multidisciplinary care is a proven concept with proven benefits in both acute and rehabilitation care provided in stroke units and neurorehabilitation centres. In this study the investigators postulate that a similar coordinated approach to care can be extended to the phase after in-patient rehabilitation has ended (i.e. long-term management as opposed to early supported discharge) for disabled patients with stroke living in the community.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Age ≥18 years * Participation in one of the previously conducted stroke cohort studies: STRAWINSKI or PREDICT * Modified Rankin Score (mRS) recorded as = 1 - 5 (at last follow up during cohort study) * Informed consent signed by patient or legal representative

Exclusion criteria

* Unwilling to have pseudonymised data stored, analyzed & anonymously published. * Patients participating in the previous studies recruited in centres outside Berlin

Design outcomes

Primary

Measure	Time frame	Description
Prevalence of unmet Needs	once	Unmet needs of patients and carers after discharge from Rehabilitation. Score of variables examined (self-reported stroke related need, post-stroke spasticity, post-stroke pain, post-stroke aphasia, neuropsychological impairment, post-stroke depression, post-stroke dementia, inadequate secondary prevention, social care need and carer burden).

Secondary

Measure	Time frame	Description
post-stroke checklist	once	Evaluation of post-stroke checklist as a valid tool to screen for relevant burden of disease after stroke.
Standard practice evaluation	once	Comparison of Standard practice in relation to evidence-based recommendations and current Clinical Guidelines for the management of stroke.

Countries

Germany

Outcome results