This is a pragmatic, multi-center, prospective, observational, non-interventional study and standing database of patients hospitalized for transient ischemic attack (TIA) or stroke in the 11 accredited adult neurology training institutions in the Philippines. Data will be collected from each patient while admitted in the hospital and until hospital discharge. Data collection for this study will span 3 years from study initiation, after which the utility of an extension or a re-implementation of the study will be assessed.
Primary objective is to prospectively collect data on demographics, medical history, in-hospital management, and outcomes among patients with first or recurrent TIA or ischemic or hemorrhagic stroke admitted in accredited adult neurology training institutions in the Philippines. Secondary objectives are: 1. To determine the in-patient case load of first and recurrent TIA and stroke. 2. To determine the profile of patients admitted for first or recurrent TIA or stroke. 3. To determine the types of diagnostic and therapeutic management received by patients with first or recurrent TIA or stroke. 4. To determine the outcomes of patients with first or recurrent TIA or stroke at the time of hospital discharge. 5. To evaluate factors that predict outcome among patients with first or recurrent TIA or stroke. 6. To assess and audit the overall quality of care received by patients admitted for first or recurrent TIA or stroke. 7. To perform other future analyses, sanctioned by the Philippine Neurological Association (PNA), that may improve knowledge on the care of patients with first and/or recurrent TIA or stroke. All eligible patients will be assigned a study identification (ID) number and included in the site log kept confidentially in each site. Corresponding anonymized data on demographics, medical history, stroke sub-type, in-hospital management and discharge outcomes will be collected from each patient and entered in the database using a secure online data collection tool. Collective data will be extracted, summarized, and analyzed for the secondary objectives every year with oversight provided by the Philippine Neurological Association.
Study Type
OBSERVATIONAL
Enrollment
14,800
Baguio General Hospital and Medical Center
Baguio City, Benguet, Philippines
Chong Hua Hospital
Cebu City, Philippines
Makati Medical Center
Makati City, Philippines
Jose R. Reyes Memorial Medical Center
Manila, Philippines
University of Santo Tomas Hospital
Manila, Philippines
University of the Philippines - Philippine General Hospital
Manila, Philippines
The Medical City
Pasig, Philippines
East Avenue Medical Center
Quezon City, Philippines
Quirino Memorial Medical Center
Quezon City, Philippines
St. Luke's Medical Center (QC, BGC)
Quezon City, Philippines
...and 1 more locations
In-hospital caseload
Number of TIA and stroke cases admitted in participating sites.
Time frame: 3 years
In-hospital diagnostic procedure (brain scan)
Rate of performance of brain scan.
Time frame: From admission to discharge, may be up to 1 month
In-hospital diagnostic procedures (electrocardiogram)
Rate of performance of electrocardiogram.
Time frame: From admission to discharge, may be up to 1 month
In-hospital diagnostic procedures (echocardiogram)
Rate of performance of echocardiogram.
Time frame: From admission to discharge, may be up to 1 month
In-hospital diagnostic procedures (cerebral vascular studies)
Rate of performance of any cerebral vascular study.
Time frame: From admission to discharge, may be up to 1 month
In-hospital therapeutic management (thrombolysis)
Rate of treatment with thrombolysis (intravenous and/or endovascular).
Time frame: From admission to discharge, may be up to 1 month
In-hospital therapeutic management (anti-thrombotics)
Rate of treatment with any anti-thrombotic (anti-platelet and/or anti-coagulant).
Time frame: From admission to discharge, may be up to 1 month
In-hospital therapeutic management (rehabilitation)
Rate of rehabilitation (physical therapy and/or occupational therapy and or speech therapy).
Time frame: From admission to discharge, may be up to 1 month
In-hospital complications from TIA or stroke
Rate of complications arising from TIA or stroke.
Time frame: From admission to discharge, may be up to 1 month
Vital status at hospital discharge
Alive or dead
Time frame: At discharge, may be up to 1 month
Functional status at hospital discharge
modified Rankin Scale
Time frame: At discharge, may be up to 1 month
Neurological status at hospital discharge
National Institute of Health Stroke Scale
Time frame: At discharge, may be up to 1 month
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