Stroke Therapy, Education, Prevention: Telemedicine Outpatient Initiative Trial

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StatoCompletato

Sponsor

Oregon Health and Science University

TEST CLINICO: NCT01875328

BioSeek: NCT01875328

Parole chiave

ictus

Astratto

This study aims to determine whether patients who have had a stroke caused by a blockage of blood flow to the brain can have medical follow up after they leave the hospital in their home using a camera connected to a computer, also called telemedicine. Patients who have follow-up with telemedicine will be compared with patients following up in the usual way, by coming to clinic, and will have the same expectations for medical care and lifestyle changes like quitting smoking, exercising, and controlling their cholesterol. The study will try to show those stroke patients who live 75 miles or more from Oregon Health & Science University (OHSU) and use a computer for follow up: 1) Will be able to complete the recommended visits using telemedicine in the home as well as those who come to clinic; 2) Will have blood pressures controlled at one year's time as well as those who follow up in the usual way by coming into clinic; 3) The patients followed with telemedicine will be as satisfied with the type of follow up they had as those followed in the usual way in the clinic. In the future, more patients who live at a distance from a major hospital might be able to get quality stroke care follow up using telemedicine if the study finds that telemedicine does meet these goals.

Date

Ultimo verificato:	09/30/2019
Primo inviato:	06/05/2013
Iscrizione stimata inviata:	06/09/2013
Primo pubblicato:	06/10/2013
Ultimo aggiornamento inviato:	10/14/2019
Ultimo aggiornamento pubblicato:	10/16/2019
Data di inizio effettiva dello studio:	10/31/2012
Data di completamento primaria stimata:	08/31/2013
Data stimata di completamento dello studio:	08/31/2016

Condizione o malattia

Stroke

Intervento / trattamento

Other: Telemedicine

Other: Clinic

Fase

Gruppi di braccia

Braccio	Intervento / trattamento
Experimental: Telemedicine Telemedicine group	Other: Telemedicine Post stroke follow up in home using telemedicine.
Active Comparator: Clinic Clinic group	Other: Clinic Post stroke clinic group follow up

Criteri di idoneità

Età idonea per lo studio	21 Years Per 21 Years
Sessi idonei allo studio	All
Accetta volontari sani	sì
Criteri	Inclusion Criteria: 1. Age 21 and over. 2. Diagnosis of ischemic stroke or transient ischemic attack (TIA). 3. mRS≤3 or discharged home or inpatient rehabilitation with the intention to return home with reliable caregiver, regardless of mRS score. 4. Patient is willing and able to comply with all follow up visits for the protocol. 5. Patient available by phone. 6. Patient or caregiver must be able to operate an automated blood pressure cuff. 7. Patients living beyond a 75 mile radius must have private access to a computer to facilitate in-home telemedicine follow up visits. Exclusion Criteria: 1. History of uncontrolled severe hypertension or refractory to medical management. 2. Severe liver impairment (AST or ALT > 3x normal).

Risultato

Misure di esito primarie

1. Outpatient stroke follow-up after discharge using telemedicine in the home is feasible as assessed by visit and intervention adherence for patients living outside a 75 mile radius from OHSU. [up to 1 year]

Misure di esito secondarie

1. Patients being followed in the telemedicine group will achieve rates of goal blood pressure similar to those being followed in clinic. [30 days, 1 year]

Altre misure di risultato

1. Patients being followed in the telemedicine group will have similar rates of satisfaction with the follow up regimen compared to those in the traditional clinic follow up group. [1 year]