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.
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
- 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|
- Hospital do Coracao Lead