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
50000 participants
OBSERVATIONAL
2018-05-20
2020-07-30
Brief Summary
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This registry aims to understand the disease and examine the disease dynamics at the National Level. additionally it aim to introduce an objective method for classifying the registered hospital on a spectrum of 6 level coded with colors (from Black to Green ) according the availability of the predetermined 5 bundles of services presented for patient
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Detailed Description
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An ideal stroke registry is nationwide and enrolls patients from as many participating hospitals as possible in order to increase representativeness and avoid selection bias. For example, the Risk-Stroke register in Sweden, launched in 1994, has covered all hospitals that admit acute stroke patients across the country since 1998 . Appropriate data structure and governance policies are needed to keep a nationwide stroke registry sustainable and operating well. Through the publication and communication of results, a stroke registry should be helpful for improvement of stroke care quality, health policy, and the outcomes of patients.
SECRET registry aim to help in the following
1. National Grading of The Presented Stroke Care Services:
where A 6 levels grading system was designed according to the capability of each service spot (hospital, center, etc.) to present a range of the 5 stroke service bundles of care. each Service Spot (SS) will have one of the following colors according to the availability of the services.
2. Cost-effectiveness registry Based SOPs SECRET is the first of its type registry to study the parameters for cost/effectiveness analysis for specific steps in the chain of care for stroke patient. The only convincing tool which could be used to approach the politics to be attentive and malleable for changing national plans of healthcare.
3. Aneurysm Registry This Part of the registry is dedicated for the cerebral aneurysm disorders and their type of clinical presentation. The options of treatment and each option effectiveness and cost outcome.
CFD for Best Medical Treatment Registry To investigate the possible application collected from CFD analysis in special situation to guide physician for best medical treatment (BMT) option for a Neurovascular Disorder.
Conditions
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Study Design
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COHORT
OTHER
Study Groups
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Patients with stroke with structured management
Patients with the Acute Brain injury, Transient Ischemic Attack, Acute and Chronic Ischemic and Hemorrhagic Stroke, Subarachnoid hemorrhage, and cerebral venous thrombosis from pre-hospitalization, hospitalization (in-patient) and post hospitalization (clinic) data
SECRET structured 5 bundles of standard healthcare services
THE 5 BUNDLES OF Stroke SERVICE They the mix of the services for stroke patient which are available at the SS EVT bundle: is the availability of the Endovascular services Telemedicine core bundle : is the ability to guide or guided via tele-medicine for decision making for stoke patients tPA core bundle : the availability of all infrastructure to administer tPA in the first 3 hours of onset (NNT=8) DISMAST bundle : which refer to the availability of Dysphagia detection and management ,Aspirin in hyper acute phase , The Mobilization plans and programs for the patients, anticoagulant and statin prescription for selected patients for secondary prophylaxis programs Process of care bundle : like registering patients and morphology of the disease, screening programs for risk factors , following primary prevention plans all bundles should be judged by the 8M approach
Patients with stroke without structured management
Control subject who have stroke and did not managed according to the SECRET 6 level metrics
No interventions assigned to this group
Interventions
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SECRET structured 5 bundles of standard healthcare services
THE 5 BUNDLES OF Stroke SERVICE They the mix of the services for stroke patient which are available at the SS EVT bundle: is the availability of the Endovascular services Telemedicine core bundle : is the ability to guide or guided via tele-medicine for decision making for stoke patients tPA core bundle : the availability of all infrastructure to administer tPA in the first 3 hours of onset (NNT=8) DISMAST bundle : which refer to the availability of Dysphagia detection and management ,Aspirin in hyper acute phase , The Mobilization plans and programs for the patients, anticoagulant and statin prescription for selected patients for secondary prophylaxis programs Process of care bundle : like registering patients and morphology of the disease, screening programs for risk factors , following primary prevention plans all bundles should be judged by the 8M approach
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Age \> 1 years of age.
Exclusion Criteria
* Patients who have Epidural Hematoma, Subdural hematoma.
ALL
No
Sponsors
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Egyptian Stroke Society
OTHER
Egyptian Society of Neurological Surgeons
OTHER
Egyptian Radiology Society
OTHER
Middle East North Africa Stroke and Interventional Neurotherapies Organization
OTHER
Society of Minimally Invasive Neurological Therapeutic Procedures
NETWORK
Responsible Party
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Prof. Ossama Mansour
Prof of neurology alexandria university
Locations
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Alexandria University , School of medicine , Neurology Department, Neurovascular Unit
Alexandria, , Egypt
Countries
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Facility Contacts
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Related Links
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registry website
Other Identifiers
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ESS015000
Identifier Type: -
Identifier Source: org_study_id
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