Improving Stroke Care in Greece in Terms of Management, Costs and Health Outcomes-

NCT ID: NCT04109612

Last Updated: 2022-04-13

Study Results

Results pending

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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Recruitment Status

COMPLETED

Total Enrollment

913 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-07-17

Study Completion Date

2022-01-13

Brief Summary

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The main objectives of the proposed project are:

1. To provide essential data on acute stroke management (quality indicators) incorporating hard clinical outcomes that will contribute to an ongoing process of quality improvement
2. To develop an interactive multichannel platform, for collecting, cleansing and curating high quality in-hospital and follow up data, applying multidimensional quality assessment analysis, providing statistical and analytic reports, monitoring behavioral changes and supporting overall project's management.
3. To evaluate patients' and physicians' experiences and their impact on stroke management.
4. To assess severe negative impact of stroke on the life of survivors including quality of life and disability
5. To measure health related and non- health (loss of productivity, informal care) related national expenditure for stroke care using a bottom up approach
6. To evaluate the value of care focusing on health outcomes compared with total costs of achieving them

Detailed Description

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A prospective cohort multicenter study of patients with first ever acute stroke, hemorrhagic and ischemic, (ICD-10 codes: I61, I63 and I64) admitted within 48 hours of symptoms onset to seven NHS and University hospitals will be conducted. About 1,000 patients (2% of all new cases/annually) will be recruited from six urban and semi-urban areas with 5.5 mil people (50% of Greek population), reporting 25,000 discharged stroke cases annually (53% of all stroke discharges), according to data derived from Hellenic Statistical Authority. All patients will be followed for three months. Moreover, a sub-group of the 300 firstly recruited patients will be followed for a year to obtain data on post hospital health and social needs, health services utilization (medication, rehabilitation, outpatient visits) and productivity loss . Patient enrolment and follow up is estimated to last 18 months.

Conditions

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Cerebrovascular Disorders

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of hemorrhagic or ischemic stroke (ICD-10: I61, I63 and I64)
* Patients with First ever acute stroke
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hellenic Foundation for Research and Innovation

UNKNOWN

Sponsor Role collaborator

General Secretariat for Research and Technology

UNKNOWN

Sponsor Role collaborator

Hellenic Stroke Organization

UNKNOWN

Sponsor Role collaborator

National and Kapodistrian University of Athens

OTHER

Sponsor Role lead

Responsible Party

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OLGA SISKOU

Senior Researcher

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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OLGA SISKOU, PhD

Role: PRINCIPAL_INVESTIGATOR

Senior Researcher on Health and Nursing Economics and Management

GEORGE NTAIOS, PhD

Role: PRINCIPAL_INVESTIGATOR

Head of Physicians /Nurses Team

GEORGE PAPASTEFANATOS, PhD

Role: PRINCIPAL_INVESTIGATOR

Head of IT Team

Locations

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National and Kapodistrian University of Athens

Athens, , Greece

Site Status

Aiginiteio Hospital of Athens

Athens, , Greece

Site Status

General Hospital of Athens Alexandra

Athens, , Greece

Site Status

Hellenic Stroke Organization

Athens, , Greece

Site Status

Laiko General Hospital of Athens

Athens, , Greece

Site Status

Chania General Hospital St George

Chania, , Greece

Site Status

University General Hospital of Ioannina

Ioannina, , Greece

Site Status

General University Hospital of Larisa

Larissa, , Greece

Site Status

University General Hospital of Thessaloniki Ahepa

Thessaloniki, , Greece

Site Status

General Hospital of Tripoli Evaggelistria

Tripoli, , Greece

Site Status

Countries

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Greece

Related Links

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https://pubmed.ncbi.nlm.nih.gov/32604692

Paper entitled:Access of Stroke Patients' to Optimal Healthcare Technology in Greece: Messages to Policy Makers

https://pubmed.ncbi.nlm.nih.gov/32604697

Paper entitled: Developing Patients' Experiences Database After Hospital Discharge: Another Step In Improving Stroke Care

https://pubmed.ncbi.nlm.nih.gov/32604689/

Paper entitled: Sun4Patients Web Platform: Facilitating Long-Term Monitoring of Stroke Patients

https://pubmed.ncbi.nlm.nih.gov/35062158/

Paper entitled: Stroke Units Necessity for Patients, Web-Based "SUN4P" Registry: Descriptive Characteristics of the Population

https://pubmed.ncbi.nlm.nih.gov/35062174/

Paper entitled:Assessing Staff's and Stroke Patients' Experiences in 8 Hospitals in Greece: Results from a Prospective Multi-Center Study ("SUN4Patients")

https://pubmed.ncbi.nlm.nih.gov/35062185/

Paper entitled: Inpatient Cost of Stroke Care in Greece: Preliminary Results of the Web-Based "SUN4P" Registry

Other Identifiers

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15117

Identifier Type: -

Identifier Source: org_study_id

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