Clinical trial NCT03975218: Involvement of the Physician in Primary Prevention and Pre-hospital Management of Stroke
Official title: Involvement of the Physician in Primary Prevention and Pre-hospital Management of Stroke
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Stroke
Lead sponsor: Fondation Hôpital Saint-Joseph
Sponsor class: OTHER
First posted: 2019-06-05
Enrollment: 18
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patient hospitalized in the neurology / neurovascular department within the GHPSJ following a stroke (first episode or recurrence)

Brief summary: Stroke is a growing disease. It is the first pathology responsible for acquired handicap, the second of dementia and the second cause of death in the world. In France, they are the leading cause of death in women and the third cause in men. Sequelae and disabilities also represent a significant financial cost for health insurance.

The early management of the treatment improves the patient's vital and functional prognosis. The ability of the patient to identify the signs of stroke requiring urgent consultation and proper orientation are therefore crucial for further management.

The most common signs that patients must recognize are muscle weakness or sudden paralysis of an arm, leg or half of the body, asymmetry of the face, tingling, numbness of a hemi-body, speech or understanding, loss of vision of an eye or hemifield, disorder of the coordination of a hemi-body. The variety of clinical pictures complicates primary prevention.

In this context, a 2010-2014 National Stroke Action Plan was undertaken with the aim, among other things, of developing information to prevent stroke and to limit its sequelae. In this plan, the attending physician must improve prevention in high-risk patients and be a link between the city and the hospital for follow-up.

Several questions arise:

* Are patients who are regularly followed by a general practitioner better educated on the signs of stroke / TIA and thus more able to give an appropriate warning?
* What is the profile of patients who have not been affected by the different modes of primary prevention?
* What are the effective means of information and those desired


Eligibility criteria: Inclusion Criteria:

* Patient whose age is ≥ 18 years
* Patient hospitalized in the neurology / neurovascular department within the GHPSJ following a stroke (first episode or recurrence)
* Francophone patient

Exclusion Criteria:

* Patient with previously labeled cognitive impairment
* Patient under tutorship or curatorship
* Patient deprived of liberty
* Patient unable to answer the questionnaire
* Patient opposing participation in the study

Primary outcomes:
measure: Time until patient's care in the hospital after stroke's symptoms
timeFrame: Day 1
Secondary outcomes:
measure: Study the different effective means of primary prevention
timeFrame: Day 1
Other outcomes:
Locations:
city: Paris
country: France
facility: Groupe Hospitalier Paris Saint-Joseph
Study officials:
affiliation: Fondation Hôpital Saint-Joseph
name: Marie BRUANDET, MD
role: PRINCIPAL_INVESTIGATOR
References: