Stroke
Conditions
Keywords
Registry, Outcome, Predictors
Brief summary
Pathology registers are scientific research tools for the development of epidemiological and clinical studies and health planning, which allows access to useful elements for planning adequate health services. The Registry collects demographic, clinical and functional data of stroke patients and arises from the need to order and update this information for epidemiological and research purposes, for a better knowledge of this pathology from a rehabilitation point of view and to accelerate the development of new treatments.
Detailed description
The Italian Society of Physical and Rehabilitation Medicine has published a minimal assessment protocol for stroke patients1 (PMIC2020) to share the evaluation of stroke rehabilitation needs and outcomes at any time of the rehabilitation pathway, as grounds for a National Stroke Rehabilitation Registry (SRR). The STRATEGY multicentric study aims to verify the feasibility of implementing a PMIC2020-based SRR in a routine clinical setting, and develop data-driven prognosis prediction models. Demographic, functional and clinical variables will be collected at the admission and the discharge of the patient; in addition, two telephone follow-ups (three months and six months from the event) will be carried out The study will involve several rehabilitation centers of the Don Gnocchi Foundation, Italy
Interventions
OTHERrehabilitation
All patients addressing intemsive inpatient post stroke rehabilitation undergo a shared evidence based Integrated Care pathway that is routinely adopted in all the participating Centres
Sponsors
Fondazione Don Carlo Gnocchi Onlus
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients (over 18 years of age) with ischemic or haemorrhagic stroke, first event or with relapse, time to onset of stroke less than 6 months, signature of informed consent by the patient or family member.
Exclusion criteria
* Patients from Severe Acquired Brain Injuries units and / or with diseases that threaten the patient's life
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in modified Barthel Index | Admission, discharge (average 30 days from admission), follow-up (6 months after stroke) | measure of ability in activity of daily living range 0 worst- 100 best |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Functional Ambulation Category | Admission, discharge (average 30 days from admission), follow-up (6 months after stroke) | measure of functional ambulation range 0 worst- 6 best |
| Change in Trunk Control Test | Admission, discharge (average 30 days from admission) | measure of trunk control range 0 worst- 100 best |
| Change in Short Physical Performance Battery | Admission, discharge (average 30 days from admission) | measure of lower limbs physical performance range 0 worst-12 best |
| Change in modified Rankin Score | Admission, discharge (average 30 days from admission), follow-up (6 months after stroke) | measure of global disability range 0 best-5 worst |
| Change in Modified Ashworth Scale | Admission, discharge (average 30 days from admission) | Measure of upper and lower limb spasticity range range 0 best 100 |
| Change of Mini Mental State Examination | Admission, discharge (average 30 days from admission) | Cogntive level, range from 0 worst - 30 best |
| Change in Motricity Index | Admission, discharge (average 30 days from admission) | Measure of motricity in upper and lower limb range 0 worst-100 best |
Countries
Italy
Contacts
Primary ContactFrancesca Cecchi, MD
Outcome results
None listed