The link between post-stroke pathways and patient sequelae have not yet been clearly defined. The main purpose is to identify the post-stroke life pathways components associated with sequalae at 3 months and 1 year after the acute stroke episode.
Stroke is a serious health event, involving the entire health care system and generating considerable socioeconomic weight for society. Knowledge of the components, the diversity and the scalability of post-stroke life pathways is currently not sufficient. Moreover the link between post-stroke pathways and patient sequelae have not yet been clearly defined. The main purpose is to identify the post-stroke life pathways components associated with sequalae at 3 months and 1 year after the acute stroke episode. The secondary objectives are: 1) To define a typology of the life pathways of stroke patients, , 2) To analyze the social and geographical inequalities in the management of stroke, 4) To estimate the cost of the pathway elements of stroke management; 5) Measure the sequelae of stroke patients at three months and one year after the acute episode. The design is a prospective multicenter cohort study with a follow up to 1 year after the acute episode, managed in several hospitals in the Aquitaine region (France).
Study Type
OBSERVATIONAL
Enrollment
1,138
Telephone Interview
CH Agen
Agen, France
CH Blaye
Blaye, France
CHU Bordeaux
Bordeaux, France
CH Arcachon
Modified Rankin Scale (mRS) Score
Activity limitations post-stroke measure. Minimum score : 0 "No symptoms at all " Maximum score : 6 "Dead"
Time frame: 3 months
Modified Rankin Scale (mRS) Score
Activity limitations post-stroke measure Minimum score : 0 "no symptom" Maximum score : 6 "death"
Time frame: 1 year
Telephone Interview for Cognitive Status Modified (TICS) Score
Cognitive disorders post-stroke measure Score from 0 to 43
Time frame: 3 months
Telephone Interview for Cognitive Status Modified (TICS) Score
Cognitive disorders post-stroke measure Score from 0 to 43
Time frame: 1 year
Hospital anxiety and depression scale (HADS) Score
Depression and anxiety disorders post-stroke measure Scores ranged from 0 (minimum) to 21 (maximum) for anxiety and 0 (minimum) to 21 (maximum) for depression. Total score from 0 to 42
Time frame: 3 months
Hospital anxiety and depression scale (HADS) Score
Depression and anxiety disorders post-stroke measure Scores ranged from 0 (minimum) to 21 (maximum) for anxiety and 0 (minimum) to 21 (maximum) for depression. Total score from 0 to 42
Time frame: 1 year
Fatigue Severity Scale (FSS) Score
The Fatigue Severity Scale (FSS) is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. Essentially, the FSS consists of answering a short questionaire that requires the subject to rate his or her own level of fatigue. The subject is asked to read each statem ent and circle a number from 1 to 7, depending on how appropriate they felt the statement applied to them over the preceding week. A low value indicates that the statement is not very appropriate whereas a high value indicates agreement. The scoring is done by calculating the average response to the questions (adding up all the answers and dividing by nine). People with depression alone score about 4.5. People with fatigue average about 6.5.
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La Teste-de-Buch, France
CH Sud Gironde - Langon
Langon, France
Clinique Mutualiste Lesparre Médoc
Lesparre-Médoc, France
CH Libourne
Libourne, France
CHIC Marmande-Tonneins
Marmande, France
CH Mont de Marsan - site Layné
Mont-de-Marsan, France
CH Oloron
Oloron-Sainte-Marie, France
...and 3 more locations
Time frame: 3 months
Fatigue Severity Scale (FSS) Score
The Fatigue Severity Scale (FSS) is designed to differentiate fatigue from clinical depression, since both share some of the same symptoms. Essentially, the FSS consists of answering a short questionaire that requires the subject to rate his or her own level of fatigue. The subject is asked to read each statem ent and circle a number from 1 to 7, depending on how appropriate they felt the statement applied to them over the preceding week. A low value indicates that the statement is not very appropriate whereas a high value indicates agreement. The scoring is done by calculating the average response to the questions (adding up all the answers and dividing by nine). People with depression alone score about 4.5. People with fatigue average about 6.5.
Time frame: 1 year
Barthel Index (BI) Score
Functional outcome post-stroke measure The original 10-item form of the BI consists of 10 common ADL activities including: feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfer, ambulation and stair climbing. Items are rated in terms of whether individuals can perform activities independently, with some assistance, or are dependent (scored as 10, 5 or 0). Items are weighted according to the level of nursing care required. Total score from 0 to 100
Time frame: 3 months
Barthel Index (BI) Score
Functional outcome post-stroke measure The original 10-item form of the BI consists of 10 common ADL activities including: feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfer, ambulation and stair climbing. Items are rated in terms of whether individuals can perform activities independently, with some assistance, or are dependent (scored as 10, 5 or 0). Items are weighted according to the level of nursing care required. Total score from 0 to 100
Time frame: 1 year
Community Integration Questionnaire (CIQ-R) Score
Participation restrictions post-stroke measure Score from 0 to 35
Time frame: 3 months
Community Integration Questionnaire (CIQ-R) Score
Participation restrictions post-stroke measure Score from 0 to 35
Time frame: 1 year