Trial Outcomes & Findings for Improving Coordination and Transitions of Care in Stroke Patients (NCT NCT02642744)

NCT ID: NCT02642744

Last Updated: 2024-02-23

Results Overview

measures patient knowledge about stroke

• Recruitment status: COMPLETED
• Study phase: NA
• Target enrollment: 670 participants
• Primary outcome timeframe: 90 days
• Results posted on: 2024-02-23

Participant Flow

Participant milestones

Measure	Attending Nurse Model The attending nurse model of in-hospital care delivery aims to improve patient understanding, shared decision making, medication adherence, and reduce early readmissions after discharge to improve quality of life. On the inpatient stroke unit, the attending nurse will take ownership of essential aspects of an individual stroke patient's care, education, and transition out of the hospital. To further contribute to the patient's plan of care, the attending nurse will be present on daily teaching rounds. Nursing care model: Subjects will be randomized into either the attending nursing model of care vs the standard nursing model	Conventional Inpatient Nursing Care Standard of care nursing care patients receive while inpatient
Overall Study STARTED	278	392
Overall Study COMPLETED	129	169
Overall Study NOT COMPLETED	149	223

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Improving Coordination and Transitions of Care in Stroke Patients

Baseline characteristics by cohort

Measure	Attending Nurse Model n=129 Participants The attending nurse model of in-hospital care delivery aims to improve patient understanding, shared decision making, medication adherence, and reduce early readmissions after discharge to improve quality of life. On the inpatient stroke unit, the attending nurse will take ownership of essential aspects of an individual stroke patient's care, education, and transition out of the hospital. To further contribute to the patient's plan of care, the attending nurse will be present on daily teaching rounds. Nursing care model: Subjects will be randomized into either the attending nursing model of care vs the standard nursing model	Conventional Inpatient Nursing Care n=169 Participants Standard of care nursing care patients receive while inpatient	Total n=298 Participants Total of all reporting groups
Age, Continuous	63 years STANDARD_DEVIATION 15 • n=5 Participants	63 years STANDARD_DEVIATION 16 • n=7 Participants	63 years STANDARD_DEVIATION 16 • n=5 Participants
Sex: Female, Male Female	54 Participants n=5 Participants	78 Participants n=7 Participants	132 Participants n=5 Participants
Sex: Female, Male Male	75 Participants n=5 Participants	91 Participants n=7 Participants	166 Participants n=5 Participants
Race/Ethnicity, Customized White, Non-Hispanic	51 Participants n=5 Participants	74 Participants n=7 Participants	125 Participants n=5 Participants
Race/Ethnicity, Customized White, Hispanic	2 Participants n=5 Participants	3 Participants n=7 Participants	5 Participants n=5 Participants
Race/Ethnicity, Customized African American, Non-Hispanic	57 Participants n=5 Participants	57 Participants n=7 Participants	114 Participants n=5 Participants
Race/Ethnicity, Customized Asian	2 Participants n=5 Participants	5 Participants n=7 Participants	7 Participants n=5 Participants
Race/Ethnicity, Customized Other	16 Participants n=5 Participants	23 Participants n=7 Participants	39 Participants n=5 Participants
Race/Ethnicity, Customized Missing	1 Participants n=5 Participants	7 Participants n=7 Participants	8 Participants n=5 Participants
Region of Enrollment United States	129 participants n=5 Participants	169 participants n=7 Participants	298 participants n=5 Participants

PRIMARY outcome

Timeframe: 90 days

Population: These numbers reflect the number of participants that completed the measure

measures patient knowledge about stroke

Outcome measures

Measure	Attending Nurse Model n=78 Participants The attending nurse model of in-hospital care delivery aims to improve patient understanding, shared decision making, medication adherence, and reduce early readmissions after discharge to improve quality of life. On the inpatient stroke unit, the attending nurse will take ownership of essential aspects of an individual stroke patient's care, education, and transition out of the hospital. To further contribute to the patient's plan of care, the attending nurse will be present on daily teaching rounds. Nursing care model: Subjects will be randomized into either the attending nursing model of care vs the standard nursing model	Conventional Inpatient Nursing Care n=90 Participants Standard of care nursing care patients receive while inpatient
Stroke Patient Education Retention Tool Good	49 Participants	52 Participants
Stroke Patient Education Retention Tool Bad	29 Participants	38 Participants

PRIMARY outcome

Timeframe: 90 Days

Population: These numbers reflect the number of participants that completed the measure

medication adherence measurement

Outcome measures

Measure	Attending Nurse Model n=82 Participants The attending nurse model of in-hospital care delivery aims to improve patient understanding, shared decision making, medication adherence, and reduce early readmissions after discharge to improve quality of life. On the inpatient stroke unit, the attending nurse will take ownership of essential aspects of an individual stroke patient's care, education, and transition out of the hospital. To further contribute to the patient's plan of care, the attending nurse will be present on daily teaching rounds. Nursing care model: Subjects will be randomized into either the attending nursing model of care vs the standard nursing model	Conventional Inpatient Nursing Care n=94 Participants Standard of care nursing care patients receive while inpatient
Medication Compliance Adherent	53 Participants	67 Participants
Medication Compliance Non-adherent	29 Participants	27 Participants

Adverse Events

Attending Nurse Model

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Conventional Inpatient Nursing Care

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Laura Stein

University of Pennsylvania

Phone: 215-662-6214

Email: laura.stein@pennmedicine.upenn.edu

Results disclosure agreements

• Principal investigator is a sponsor employee
• Publication restrictions are in place