Clinical trial NCT02320994: Managing Aftercare for Stroke (MAS): MAS-I - a Cross Sectional Study of Post-rehabilitation Stroke Burden and Patients' Needs
Official title: Managing Aftercare for Stroke (MAS): MAS-I - a Cross Sectional Study of Post-rehabilitation Stroke Burden and Patients' Needs
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Ischemic Stroke
Keywords: stroke
aftercare
Lead sponsor: Charite University, Berlin, Germany
Sponsor class: OTHER
Collaborators: name: Prof. Dr. Ian Wellwood
name: Prof. Dr. Jörg Wissel
name: NeuroCure Clinical Research Center, Charite, Berlin
First posted: 2014-12-19
Enrollment: 64
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Patients in long term course after a moderate to severe ischemic stroke

Brief summary: In this first step of the study the investigators will assess the needs, disease burden and current treatments of long-term stroke patients (phase MAS-I).

The ultimate aim of the complete MAS project (MAS I, II \& III) is the development of a model of stroke aftercare delivery that can be evaluated to estimate effects in both our local and the wider stroke population.

Detailed description: After discharge from hospital the current healthcare system in Germany allows considerable flexibility (therefore complexity) of patient access and mobility between multiple care providers in the community setting. The investigators believe this aftercare could be better coordinated by a specialized coordinated stroke aftercare service. Comprehensive coordinated multidisciplinary care is a proven concept with proven benefits in both acute and rehabilitation care provided in stroke units and neurorehabilitation centres. In this study the investigators postulate that a similar coordinated approach to care can be extended to the phase after in-patient rehabilitation has ended (i.e. "long-term management" as opposed to "early supported discharge") for disabled patients with stroke living in the community.

Eligibility criteria: Inclusion Criteria:

* Age ≥18 years
* Participation in one of the previously conducted stroke cohort studies: STRAWINSKI or PREDICT
* Modified Rankin Score (mRS) recorded as = 1 - 5 (at last follow up during cohort study)
* Informed consent signed by patient or legal representative

Exclusion Criteria:

* Unwilling to have pseudonymised data stored, analyzed \& anonymously published.
* Patients participating in the previous studies recruited in centres outside Berlin

Primary outcomes:
measure: Prevalence of unmet Needs
timeFrame: once
Secondary outcomes:
measure: post-stroke checklist
timeFrame: once
measure: Standard practice evaluation
timeFrame: once
Other outcomes:
Locations:
city: Berlin
country: Germany
facility: Charité - Universitätsmedizin Berlin (Center for Stroke Research Berlin CSB & NeuroCure Clinical Research Center)
Study officials:
affiliation: Charité - Universitätsmedizin Berlin, NeuroCure Clinical Research Center & Center for Stroke Research Berlin
name: Andreas Meisel, Prof. Dr. med.
role: PRINCIPAL_INVESTIGATOR
affiliation: Charité - Universitätsmedizin Berlin, Center for Stroke Research Berlin (CSB)
name: Ian Wellwood, Prof. Dr.
role: PRINCIPAL_INVESTIGATOR
affiliation: Neurologie und Psychosomatik am Wittenbergplatz
name: Jörg Wissel, Prof. Dr.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Hotter B, Padberg I, Liebenau A, Knispel P, Heel S, Steube D, Wissel J, Wellwood I, Meisel A. Identifying unmet needs in long-term stroke care using in-depth assessment and the Post-Stroke Checklist - The Managing Aftercare for Stroke (MAS-I) study. Eur Stroke J. 2018 Sep;3(3):237-245. doi: 10.1177/2396987318771174. Epub 2018 Apr 19.
citation: Lehnerer S, Hotter B, Padberg I, Knispel P, Remstedt D, Liebenau A, Grittner U, Wellwood I, Meisel A; BSA Long Term Care Study Group. Social work support and unmet social needs in life after stroke: a cross-sectional exploratory study. BMC Neurol. 2019 Sep 6;19(1):220. doi: 10.1186/s12883-019-1451-y.
citation: Padberg I, Hotter B, Liebenau A, Knispel P, Lehnerer S, Heel S, Wellwood I, Meisel A. Unmet Need for Social and Emotional Support and Lack of Recalled Screening Is Associated with Depression in the Long-Term Course After Stroke. Risk Manag Healthc Policy. 2020 Apr 1;13:285-293. doi: 10.2147/RMHP.S228265. eCollection 2020.