Stroke Prevention and Treatment System in Shanghai: a Network of Public Healthcare of Stroke
NCT ID: NCT02735226
Last Updated: 2017-07-19
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
100000 participants
OBSERVATIONAL
2014-01-31
2018-12-31
Brief Summary
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Detailed Description
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The stroke clinical pathway is available on line in computers of each hospital. This pathway can be accessed from hospital computers, or from outside.
Stroke team members in each hospital obtained and entered all data on each stroke patient: demographics, stroke onset time, onset to thrombolytic time, presenting NIHSS, timing of diagnostic procedures, treatment strategies, performance of quality measures, comorbidities, in-hospital mortality, etc. These data are contained in a three-page form, which are embedded in the electronic health record of each patient.
If ICD-10 stroke codes were entered as the primary discharge diagnoses, the electronic health record systems would not allow the discharge of the patient until all required documentation has been completed. The EHR would not allow for any empty fields before it could be closed. Data quality was assured by automatic feasibility checks. The novel electronic data acquisition system provides the continuous clinical care data on all stroke patients from their acute management phase to inpatient rehabilitation or discharge.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Acute Stroke patient
Patients who are presented to hospital within 7days from onset. The key measurement of clinical quality controlled in patients with acute stroke managment and inhouse stroke care were record automatically
stroke network and policy intervention
Shanghai stroke service and network contributes to update the ability of stroke care of comprehensive and primary stroke center,to improve radiation ability of comprehensive stroke centers and try to form a close relationship between comprehensive stroke centers and its primary stroke centers.
Interventions
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stroke network and policy intervention
Shanghai stroke service and network contributes to update the ability of stroke care of comprehensive and primary stroke center,to improve radiation ability of comprehensive stroke centers and try to form a close relationship between comprehensive stroke centers and its primary stroke centers.
Eligibility Criteria
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Inclusion Criteria
* primary diagnosis as acute stroke or TIA within 7 days from onset
* admitted in stroke unit.
Exclusion Criteria
* woman with pregnant
* outpatient
* any other reason that patient cannot be admitted for secondary prevention
18 Years
ALL
No
Sponsors
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Huashan Hospital
OTHER
Shanghai Zhongshan Hospital
OTHER
Ruijin Hospital
OTHER
theTenth People's Hospital
UNKNOWN
the Sixth People's Hospital
AMBIG
RenJi Hospital
OTHER
ShuGuang Hospital
OTHER
Dongfang Hospital Beijing University of Chinese Medicine
OTHER
Changzheng Hospital
UNKNOWN
Changhai Hospital
OTHER
the Ninth People's Hospital
UNKNOWN
Shanghai Stroke Service System
OTHER
Responsible Party
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Qiang Dong
Director of Shanghai Stroke Service system
Principal Investigators
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Qiang Dong, M.D., Ph.D
Role: PRINCIPAL_INVESTIGATOR
Shanghai Stroke Service System
Locations
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Zhongshan Hospital affiliated to Fudan University
Shanghai, Shanghai Municipality, China
Huashan Hospital,Fudan University
Shanghai, Shanghai Municipality, China
Shuguang Hospital affiliated to Shanghai Traditional Chinese Medicine University
Shanghai, Shanghai Municipality, China
The Shanghai Tenth People's Hospital, Tongji University
Shanghai, Shanghai Municipality, China
Dongfang Hospital affiliated to Shanghai University of TCM
Shanghai, Shanghai Municipality, China
Renji hospital,Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, China
Shanghai Changhai Hospital
Shanghai, Shanghai Municipality, China
Shanghai Changzheng Hospital
Shanghai, Shanghai Municipality, China
Shanghai Jiao Tong University School of Medicine Ruijin Hospital
Shanghai, Shanghai Municipality, China
Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, China
The Sixth People's Hospital affiliated to Shanghai Jiaotong University
Shanghai, Shanghai Municipality, China
Countries
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Central Contacts
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Facility Contacts
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References
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Xu J, Xie Y, Fang K, Wang X, Chen S, Liu X, Zhao Y, Guan Y, Cai D, Li G, Liu J, Liu J, Zhuang J, Xian Y, Shen H, Li H, Wang DZ, Campbell BC, Parsons MW, Dong Y, Dong Q. Effect of the Shanghai Stroke Service System (4S) on the quality of stroke care and outcomes: A prospective quality improvement project. Int J Stroke. 2023 Jun;18(5):599-606. doi: 10.1177/17474930221125993. Epub 2022 Oct 15.
Dong Y, Han Y, Shen H, Wang Y, Ma F, Li H, Wang Y, Dong Q. Who may benefit from lower dosages of intravenous tissue plasminogen activator? Results from a cluster data analysis. Stroke Vasc Neurol. 2020 Dec;5(4):348-352. doi: 10.1136/svn-2020-000388. Epub 2020 Jul 1.
Dong Y, Fang K, Wang X, Chen S, Liu X, Zhao Y, Guan Y, Cai D, Li G, Liu J, Liu J, Zhuang J, Wang P, Chen X, Shen H, Wang DZ, Xian Y, Feng W, Campbell BC, Parsons M, Dong Q. The network of Shanghai Stroke Service System (4S): A public health-care web-based database using automatic extraction of electronic medical records. Int J Stroke. 2018 Jul;13(5):539-544. doi: 10.1177/1747493018765492. Epub 2018 Mar 21.
Other Identifiers
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Shanghai Stroke Service System
Identifier Type: -
Identifier Source: org_study_id
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