Get With the Guidelines-Stroke Registry

Study Overview
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Brief Summary
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Get With The Guidelines-Stroke is a program for improving the quality of care for patients hospitalized with stroke by promoting consistent adherence to the latest evidence-based clinical practice guidelines.

Detailed Description
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Get With The Guidelines®-Stroke is an in-hospital program for improving stroke care by promoting consistent adherence to the latest scientific treatment guidelines. Since its initiation in 2003, 2,637 hospitals have entered 3,892,063 patient records into the Get With The Guidelines-Stroke database. Numerous published studies demonstrate the program's success in achieving measurable patient outcome improvements. Achievement measures tracked through the Get With The Guidelines®-Stroke: IV rT-PA arrive by 3.5 hour, treat by 4.5hour Early antithrombotics VTE prophylaxis Antithrombotics at or by discharge Anticoagulation for Afib/Aflutter at or by discharge Smoking cessation at or by discharge Intensive Statin Therapy Quality measures tracked through the Get With The Guidelines®-Stroke: Dysphagia screen Time to intravenous thrombolytic therapy-60 min NIHSS reported Stroke education at or by discharge Rehabilitation considered at or by discharge LDL Documented Additional measures collected by Get With The Guidelines®-Stroke can be viewed at: https://www.heart.org/en/professional/quality-improvement/get-with-the-guidelines/get-with-the-guidelines-stroke/get-with-the-guidelines-stroke-patient-management-tool

Official Title
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Get With the Guidelines-Stroke Registry

Conditions
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Stroke

Intervention / Treatment
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* Other: GWTG Stroke program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients presented with a diagnosis of Ischemic stroke or transient ischemic attack, Subarachnoid hemorrhage, Intracerebral hemorrhage, or Stroke not otherwise specified to the hosptials. Exclusion Criteria: Patients who do not have a diagnosis of Ischemic stroke or transient ischemic attack, Subarachnoid hemorrhage, Intracerebral hemorrhage, or Stroke not otherwise specified. Patients under age of 18

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 125 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: GWTG Stroke program|Evidence based recommended therapies and counseling prior to hospital discharge.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| In-hospital mortality |  | 6 days - mean for length of hospitalization for Stroke patients | 
| Modified Rankin Scale at Discharge | Patients grouped by Modified Rankin Scale at discharge | 6 days - mean for length of hospitalization for Stroke patients | 
| Risk-Adjusted Mortality Ratio (for Ischemic-Only and Ischemic and Hemorrhagic models) | A ratio comparing the actual in-hospital mortality rate to the risk-adjusted expected mortality rate. | 30 days post discharge from hospital | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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stroke