Non-disabling Ischemic Cerebrovascular Event With Apathy

Study Overview
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Brief Summary
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The burden of non-disabling ischemic cerebrovascular events (NICE) is significantly increased. However, few previous studies have focused on affective impairment after transient ischemic attack (TIA) and minor stroke. Stroke survivors are often described as apathetic. Even though post-stroke apathy (PSA) affects one in three stroke patients,it has not hitherto received much attention. NICE-A is a prospective study aimed to explore the association between baseline apathy and probable incident stroke in a population-based sample of TIA and minor stroke adults.

Detailed Description
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Transient ischemic attack (TIA) and acute minor ischemic stroke, are common and may leave impermanent or mild neurological deficit, they are termed as non-disabling ischemic cerebrovascular disease (NICE). TIA and minor stroke exhibit the common substantial risk factors for early stroke recurrence and epidemiological characteristic, with approximately 10 to 20% of patients having a stroke within 3 months after the index event. Previous studies has shown that post-stroke apathy (PSA) affects one in three stroke patients, which is consistently associated with a worse level of functional recovery, poorer overall health and poorer quality of life. However, still little is known about the development of TIA and minor stroke patients with apathy. Thus, it is imperative to find the relationships between baseline PSA and probable incident stroke in these patients. NICE is an attractive researching area globally. According to the large quantities of NICE patients in China and the low standardized therapeutic rate, the awareness of TIA and minor stroke is largely insufficient. The purpose of the present NICE-A study is to establish the prevalence, predictors and evolution of symptoms of PSA in TIA and minor stroke patients during the first post-stroke year.

Official Title
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Non-disabling Ischemic Cerebrovascular Event With Apathy: A Prospective Registry Trail

Conditions
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Apathy, Minor Stroke, Transient Ischemic Attack, Stroke

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ≥18 years old Onset of a minor stroke (National Institute of Health stroke scale, NIHSS≤3) and TIA elapsed time from last episode to registry <1 month Exclusion Criteria: patients who refused to participate in the research, and patients who failed to complete the follow-up protocol. patients with malignant tumors, or patients with severe liver or kidney disease, whose life expectancy is less than 1 year. patients who received endovascular or thrombolytic therapy.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 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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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Death | Death from any cause | 1 month | 
| Death | Death from any cause | 3 months | 
| Death | Death from any cause | 6 months | 
| Death | Death from any cause | 12 months | 
| Stroke recurrence | Ischemic stroke | 1 month | 
| Stroke recurrence | Ischemic stroke | 3 months | 
| Stroke recurrence | Ischemic stroke | 6 months | 
| Stroke recurrence | Ischemic stroke | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hemorrhagic stroke | Cerebral hemorrhage and subaraclmoid hemorrhage | 1 month | 
| Hemorrhagic stroke | Cerebral hemorrhage and subaraclmoid hemorrhage | 3 months | 
| Hemorrhagic stroke | Cerebral hemorrhage and subaraclmoid hemorrhage | 6 months | 
| Hemorrhagic stroke | Cerebral hemorrhage and subaraclmoid hemorrhage | 12 months | 
| Functional outcome | Modified Rankin Scale ≥3 | 1 month | 
| Functional outcome | Modified Rankin Scale ≥3 | 3 months | 
| Functional outcome | Modified Rankin Scale ≥3 | 6 months | 
| Functional outcome | Modified Rankin Scale ≥3 | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Transient Ischemic Attack, Apathy, minor stroke, Stroke