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The link between post-stroke pathways and patient sequelae have not yet been clearly defined. The main purpose is to identify the post-stroke life pathways components associated with sequalae at 3 months and 1 year after the acute stroke episode.
Stroke is a serious health event, involving the entire health care system and generating considerable socioeconomic weight for society. Knowledge of the components, the diversity and the scalability of post-stroke life pathways is currently not sufficient. Moreover the link between post-stroke pathways and patient sequelae have not yet been clearly defined.
The main purpose is to identify the post-stroke life pathways components associated with sequalae at 3 months and 1 year after the acute stroke episode. The secondary objectives are: 1) To define a typology of the life pathways of stroke patients, , 2) To analyze the social and geographical inequalities in the management of stroke, 4) To estimate the cost of the pathway elements of stroke management; 5) Measure the sequelae of stroke patients at three months and one year after the acute episode.
The design is a prospective multicenter cohort study with a follow up to 1 year after the acute episode, managed in several hospitals in the Aquitaine region (France).
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telephone Interview | Other | Telephone Interview |
| Measure | Description | Time Frame |
|---|---|---|
| Modified Rankin Scale (mRS) Score | Activity limitations post-stroke measure. Minimum score : 0 "No symptoms at all " Maximum score : 6 "Dead" | 3 months |
| Modified Rankin Scale (mRS) Score | Activity limitations post-stroke measure Minimum score : 0 "no symptom" Maximum score : 6 "death" | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Telephone Interview for Cognitive Status Modified (TICS) Score | Cognitive disorders post-stroke measure Score from 0 to 43 | 3 months |
| Telephone Interview for Cognitive Status Modified (TICS) Score |
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Inclusion Criteria:
Exclusion Criteria:
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Patients diagnosed with a confirmed ischemic or hemorrhagic stroke included in the Aquitaine Observatory of Stroke (ObA2) cohort and managed in the 13 participants centers and voluntary to participate
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CH Agen | Agen | 47 923 | France | |||
| CH Blaye |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31665006 | Derived | Broussy S, Rouanet F, Lesaine E, Domecq S, Kret M, Maugeais M, Aly F, Dehail P, Benard A, Wittwer J, Salamon R, Sibon I, Saillour-Glenisson F. Post-stroke pathway analysis and link with one year sequelae in a French cohort of stroke patients: the PAPASePA protocol study. BMC Health Serv Res. 2019 Oct 29;19(1):770. doi: 10.1186/s12913-019-4522-2. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D007407 | Interviews as Topic |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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Cognitive disorders post-stroke measure Score from 0 to 43
| 1 year |
| Hospital anxiety and depression scale (HADS) Score | Depression and anxiety disorders post-stroke measure Scores ranged from 0 (minimum) to 21 (maximum) for anxiety and 0 (minimum) to 21 (maximum) for depression. Total score from 0 to 42 | 3 months |
| Hospital anxiety and depression scale (HADS) Score | Depression and anxiety disorders post-stroke measure Scores ranged from 0 (minimum) to 21 (maximum) for anxiety and 0 (minimum) to 21 (maximum) for depression. Total score from 0 to 42 | 1 year |
| Fatigue Severity Scale (FSS) Score | The Fatigue Severity Scale (FSS) is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. Essentially, the FSS consists of answering a short questionaire that requires the subject to rate his or her own level of fatigue. The subject is asked to read each statem ent and circle a number from 1 to 7, depending on how appropriate they felt the statement applied to them over the preceding week. A low value indicates that the statement is not very appropriate whereas a high value indicates agreement. The scoring is done by calculating the average response to the questions (adding up all the answers and dividing by nine). People with depression alone score about 4.5. People with fatigue average about 6.5. | 3 months |
| Fatigue Severity Scale (FSS) Score | The Fatigue Severity Scale (FSS) is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. Essentially, the FSS consists of answering a short questionaire that requires the subject to rate his or her own level of fatigue. The subject is asked to read each statem ent and circle a number from 1 to 7, depending on how appropriate they felt the statement applied to them over the preceding week. A low value indicates that the statement is not very appropriate whereas a high value indicates agreement. The scoring is done by calculating the average response to the questions (adding up all the answers and dividing by nine). People with depression alone score about 4.5. People with fatigue average about 6.5. | 1 year |
| Barthel Index (BI) Score | Functional outcome post-stroke measure The original 10-item form of the BI consists of 10 common ADL activities including: feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfer, ambulation and stair climbing. Items are rated in terms of whether individuals can perform activities independently, with some assistance, or are dependent (scored as 10, 5 or 0). Items are weighted according to the level of nursing care required. Total score from 0 to 100 | 3 months |
| Barthel Index (BI) Score | Functional outcome post-stroke measure The original 10-item form of the BI consists of 10 common ADL activities including: feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfer, ambulation and stair climbing. Items are rated in terms of whether individuals can perform activities independently, with some assistance, or are dependent (scored as 10, 5 or 0). Items are weighted according to the level of nursing care required. Total score from 0 to 100 | 1 year |
| Community Integration Questionnaire (CIQ-R) Score | Participation restrictions post-stroke measure Score from 0 to 35 | 3 months |
| Community Integration Questionnaire (CIQ-R) Score | Participation restrictions post-stroke measure Score from 0 to 35 | 1 year |
| Blaye |
| 33 394 |
| France |
| CHU Bordeaux | Bordeaux | 33 076 | France |
| CH Arcachon | La Teste-de-Buch | 33 164 | France |
| CH Sud Gironde - Langon | Langon | 33 212 | France |
| Clinique Mutualiste Lesparre Médoc | Lesparre-Médoc | 33 340 | France |
| CH Libourne | Libourne | 33 505 | France |
| CHIC Marmande-Tonneins | Marmande | 47 207 | France |
| CH Mont de Marsan - site Layné | Mont-de-Marsan | 40 024 | France |
| CH Oloron | Oloron-Sainte-Marie | 64 400 | France |
| CH Orthez | Orthez | 64 301 | France |
| CH Pau | Pau | 64 000 | France |
| Pôle de Santé du Villeneuvois | Villeneuve-sur-Lot | 47 305 | France |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |