Transitions of Care Stroke Disparity Study (TCSD-S)

Completed

Conditions studied: Stroke

In brief

The TCSD Study will identify disparities in transitions of stroke care and key factors associated with effective transitions of care through structured telephone interviews to evaluate medication adherence, healthy lifestyle, utilization of rehabilitation interventions and medical follow-up 30 days after hospital discharge to home in 2,400 participants across 12 comprehensive stroke centers (CSC) in Florida. A novel Transitions of Stroke Care Performance Index (TOSC PI) correlated with 90-day rehospitalization will be derived and validated.

Key facts

Study ID

NCT03452813

Run by

University of Miami

People needed

1549

Starts

2018-06-01

Expected to finish

2023-12-11

Last updated by the study team

2024-04-16

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Ischemic stroke or intracerebral hemorrhage patients age >/=18 years that are discharged directly to home, or discharged to rehab
• Final diagnosis of ischemic stroke or intracerebral hemorrhage, included in the Get With
• The Guidelines- Stroke (GWTG-S) database.
• Patient or legally authorized representative provides consent
• Available by phone and willing to receive two follow-up calls.

You may not qualify if…

• Cases with subarachnoid hemorrhage, transient ischemic attack (TIA), stroke not otherwise specified, no stroke related diagnosis, and admission for elective carotid intervention will be excluded.
• Prisoners will be excluded. The purpose of the project is to study the hospital-to-home transition of stroke care.
• Discharged to inpatient rehabilitation, nursing home, subacute rehabilitation facilities or assisted living facilities. These facilities support medication adherence, provide prescribed diets, often provide in-house medical follow-up, and therefore disparities in TOSC are less likely to be detected and not amenable to the proposed interventions.
• Modified Rankin Scale of 0 after stroke. These individuals usually do not require any rehabilitation interventions and to avid the inclusion of predominately mild stroke patients.
• Unable to obtain consent from patient or legally authorized representative.
• Unavailable or unwilling to participate in the 30 and 90 day follow up telephone calls.

Where it is running

• Jackson Memorial Hospital — Miami, Florida, United States
• University of Miami — Miami, Florida, United States

Full record on ClinicalTrials.gov

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