Stroke
Conditions
Keywords
Stroke, Disability, Function, Rehabilitation, Burden
Brief summary
Korean Stroke Cohort for functioning and rehabilitation (KOSCO)-II is a large, multi-centre prospective cohort study for all acute first-ever stroke patients admitted to participating hospitals in nine distinct areas of Korea. This study is designed as a 10-year, longitudinal follow-up investigating the residual disabilities, activity limitations, and quality of life issues arising in patients suffering from first-ever stroke as previous similar stroke cohort with KOSCO. The main objectives of this study are to identify and compare the factors that influence residual disability and long-term quality of life in first-ever acute stroke patients with KOSCO. The secondary objectives of this study are to determine and compare the risk of mortality and recurrent vascular events in first-ever acute stroke patients with KOSCO. Investigators will investigate longitudinal health behaviors and patterns of healthcare utilization, including stroke rehabilitation care. Investigators will also investigate the long-term health status, mood, and quality of life in stroke patient caregivers. In addition, investigators will identify baseline and ongoing characteristics that are associated with secondary outcomes.
Interventions
OTHERopen
open
Sponsors
Samsung Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Inclusion criteria
* First-ever acute stroke (ischemic stroke or intracerebral hemorrhage) with corresponding lesion and/or evidence of acute arterial occlusion on CT (A)- or MRI/A-scan. * Age ≥ 19 years at onset of stroke. * Onset of symptoms within seven days prior to inclusion.
Exclusion criteria
* Transient ischemic attack. * History of stroke. * Traumatic intracerebral hemorrhage. * Not Korean.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Korean modified Barthel Index | 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months after stroke onset. | measurement for activities of daily living Minimum: 0, Maximum: 100 Higher scores means a better. |
| Change in Euro Quality of Life-5 Dimensions measurement for quality of life | 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months after stroke onset. | measurement for quality of life Minimum: 0, Maximum: 1 Higher scores means a better. |
| Change in Functional Independence Measurement | 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months after stroke onset. | measurement for activities of daily living Minimum: 0, Maximum: 126 Higher scores means a better. |
| Change in Korean Mini-Mental State Examination | 7 days, 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months after stroke onset. | measurement for language function Minimum: 0, Maximum: 30 Higher scores means a better. |
| Change in Korean Version of Frenchay Aphasia Screening Test | 7 days, 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months after stroke onset. | measurement for language function Minimum: 0, Maximum: 30 Higher scores means a better. |
| Change in modified Rankin Scale | 7 days, 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months after stroke onset | Measurement for disability. Range of total score 0 to 6. 0 is no disability at all and 6 is death. Therefore, greater value means worse functional status |
| Change in American Speech-Language-Hearing Association National Outcome Measurement System Swallowing Scale | 7 days, 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months after stroke onset | Measurement for swallowing function. Range of scale is 0 to 7, and greater value means better function. For example, 7 means no swallowing difficulty at all. |
| Change in Geriatric depression scale-short form | 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months after stroke onset | measurement for depression. The scale is 0 to 15. 0 is normal whereas 15 indicates severe depression. Minimum: 0, Maximum: 15. Lower scores means a better. |
| Change in Functional Ambulatory Category | 7 days, 3 months, 6 months, 12 months, 18 months, 24 months, 36 months, 48 months, 60 months, 72 months, 84 months, 96 months, 108 months after stroke onset | measurement for gait function Minimum: 0, Maximum: 5 Higher scores means a better. |
Countries
South Korea
Outcome results
None listed