Brazilian Intervention to Increase Evidence Usage in Practice - Stroke ( BRIDGE-Stroke) "BRIDGE-Stroke"


Phase 4 Results N/A

Trial Description

Phase 1: An observational study ( registry) will be conducted with the objective of documenting the practice of stroke treatment in brazilian and latin american hospitals.
Phase 2: A cluster randomized trial aiming to evaluate the effect of a multifaceted strategy to increase evidence based treatments usage for stroke patients. The hospitals will be randomized into two groups: the multifaceted strategy group and the usual care group.

Detailed Description

Study Objective: The purpose of this study is to evaluate a multifaceted strategy to increase evidence based therapies for patients with acute ischemic stroke.
Study Population; Patients with suspected stroke or transient ischemic attack (TIA) with symptoms lasting up to 24h hours.
Quality Improvement Multifaceted Intervention: The strategy includes a simulation based team training, case manager, check lists, reminders and educational material.



  • Multifaceted Strategy Behavioral
    Intervention Desc: Simulation Based Team Training Case Manager: a trained person who works in the hospital and is responsible for ensuring the usage of all interventions Reminders - Check lists - decision support algorithm Distribution of educational materials: guidelines and recommendations for best practices
    ARM 1: Kind: Experimental
    Label: Multifaceted Strategy
    Description: Multifaceted Intervention Simulation Based Team Training Case Manager Check lists Reminders Educational Materials

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Outcomes Assessor)
  • Purpose: Treatment
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment


Type Measure Time Frame Safety Issue
Primary Frequency of Evidence Based Strategies 9 months No
Primary "All or None" Quality Measures 12 months No
Secondary Discharge Prescription 12 months No
Secondary Total Mortality 12 months No
Secondary Stroke Recurrence 12 months No
Secondary Disability 12 months No