Stroke, Stroke Sequelae
Conditions
Keywords
Stroke, Pathways, Sequelae, Health services research
Brief summary
The link between post-stroke pathways and patient sequelae have not yet been clearly defined. The main purpose is to identify the post-stroke life pathways components associated with sequalae at 3 months and 1 year after the acute stroke episode.
Detailed description
Stroke is a serious health event, involving the entire health care system and generating considerable socioeconomic weight for society. Knowledge of the components, the diversity and the scalability of post-stroke life pathways is currently not sufficient. Moreover the link between post-stroke pathways and patient sequelae have not yet been clearly defined. The main purpose is to identify the post-stroke life pathways components associated with sequalae at 3 months and 1 year after the acute stroke episode. The secondary objectives are: 1) To define a typology of the life pathways of stroke patients, , 2) To analyze the social and geographical inequalities in the management of stroke, 4) To estimate the cost of the pathway elements of stroke management; 5) Measure the sequelae of stroke patients at three months and one year after the acute episode. The design is a prospective multicenter cohort study with a follow up to 1 year after the acute episode, managed in several hospitals in the Aquitaine region (France).
Interventions
OTHERTelephone Interview
Telephone Interview
Sponsors
University Hospital, Bordeaux
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient being over 18 years of age living in metropolitan France; * Patient with recent stroke (not before 2019) whose diagnosis confirmed by a neuro-vascular physician; * Patient managed for stroke in one of the 13 participating hospitals of the Aquitaine region; * Patient giving consent to participate to PAPASéPA; * Patient to be alive at the end of the acute management hospital stay
Exclusion criteria
* Patient refuse to participate to PAPASéPA * Patient died during the initial stay
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Rankin Scale (mRS) Score | 3 months | Activity limitations post-stroke measure. Minimum score : 0 No symptoms at all Maximum score : 6 Dead |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Telephone Interview for Cognitive Status Modified (TICS) Score | 3 months | Cognitive disorders post-stroke measure Score from 0 to 43 |
| Hospital anxiety and depression scale (HADS) Score | 3 months | Depression and anxiety disorders post-stroke measure Scores ranged from 0 (minimum) to 21 (maximum) for anxiety and 0 (minimum) to 21 (maximum) for depression. Total score from 0 to 42 |
| Fatigue Severity Scale (FSS) Score | 3 months | The Fatigue Severity Scale (FSS) is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. Essentially, the FSS consists of answering a short questionaire that requires the subject to rate his or her own level of fatigue. The subject is asked to read each statem ent and circle a number from 1 to 7, depending on how appropriate they felt the statement applied to them over the preceding week. A low value indicates that the statement is not very appropriate whereas a high value indicates agreement. The scoring is done by calculating the average response to the questions (adding up all the answers and dividing by nine). People with depression alone score about 4.5. People with fatigue average about 6.5. |
| Barthel Index (BI) Score | 3 months | Functional outcome post-stroke measure The original 10-item form of the BI consists of 10 common ADL activities including: feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfer, ambulation and stair climbing. Items are rated in terms of whether individuals can perform activities independently, with some assistance, or are dependent (scored as 10, 5 or 0). Items are weighted according to the level of nursing care required. Total score from 0 to 100 |
| Community Integration Questionnaire (CIQ-R) Score | 3 months | Participation restrictions post-stroke measure Score from 0 to 35 |
Countries
France
Outcome results
None listed