An international cluster-randomized quality improvement trial to increase the adherence to evidence-based therapies for acute ischemic stroke and transient ischemic attack patients: Rationale and design of the BRIDGE STROKE Trial

Machline-Carrion, M. Julia; Santucci, Eliana Vieira; Damiani, Lucas Petri; Bahit, Cecilia; Málaga, Germán; Pontes-Neto, Octávio Marques; Martins, Sheila Cristina Ouriques; Zétola, Viviane Flumignan; Normílio-Silva, Karina; Freitas, Gabriel Rodrigues de; Gorgulho, Alessandra; Salles, Antônio De; Silva, Beatriz Gonzales Pacheco da; Santos, Juliana Yamashita; Jesuíno, Isabella de Andrade; Bueno, Priscila Regina Torres; Cavalcanti, Alexandre Biasi; Guimarães, Hélio Penna; Xian, Ying; Bettger, Janet Prvu; Lópes, Renato D.; Peterson, Eric D.; Berwanger, Otávio

doi:10.1016/j.ahj.2018.09.009

Cited by 12 publications

(14 citation statements)

References 32 publications

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“…Programmes to improve patients’ and health providers’ education and communication are needed, and several are being studied and show promise. [48] Patients should increase adherence to medical treatments and adopt a healthy lifestyle. Healthcare providers should have tools for quality improvement interventions on adherence to evidence-based therapies.…”

Section: Resultsmentioning

confidence: 99%

Hypertension and Stroke: Update on Treatment

Wajngarten¹,

2019

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Stroke is the second most common cause of mortality worldwide and the third most common cause of disability. Hypertension is the most prevalent risk factor for stroke. Stroke causes and haemodynamic consequences are heterogeneous which makes the management of blood pressure in stroke patients complex requiring an accurate diagnosis and precise definition of therapeutic goals. In this article, the authors provide an updated review on the management of arterial hypertension to prevent the first episode and the recurrence. They also present a discussion on blood pressure management in hypertensive urgencies and emergencies, especially in the acute phase of hypertensive encephalopathy, ischaemic stroke and haemorrhagic stroke.

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Section: Resultsmentioning

confidence: 99%

Hypertension and Stroke: Update on Treatment

Wajngarten¹,

2019

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“…Masterstroke combined education with exercise and was able to demonstrate short-term effectiveness, making it the only study of this nature to be effective [ 15 ]. Equally as many programs focusing solely on adherence to the care plan or inclusive combinations were deemed not effective (Adie et al and Feldman et al Motivational Interviewing, Point of Care Electronic Health Record (EHR) prompt, Outreach Nursing, PREVENT, DMP, STARS-Plus, PRAISE, THRIVES, BRIDGE Stroke) [ 6 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ]. Most programs that focused on education or education plus physical activity were not effective (SEP, ICMP, Education and Support Package, High-Intensive Exercise Program, Denny et al) [ 32 , 33 , 34 , 35 , 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…Live/in-person strategies were effective in a number of instances (11 out of 25; Comprehensive Reminder System, PROTECT, SRP, Masterstroke, NAILED, Aerobic Rehab, PINGS, DESERVE, SMART, INSPiRE-TMS, SPS3) [ 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 40 , 41 , 42 ]; however, many of the studies were not (14 out of 25; SEP, PRAISE, LAST, ExStroke, Ticaa’dom, High-Intensive Exercise Program, PREVENT, STARS Plus, Education and Support Package, BRIDGE Stroke, Outreach Nursing and Motivational Interviewing, Adie et al and Feldman, et al) [ 6 , 22 , 23 , 24 , 25 , 27 , 28 , 30 , 33 , 35 , 36 , 37 , 38 , 39 ]. Studies that utilized a virtual component of delivery were effective in three cases (SMART, DESERVE, Kim et al) and not effective in five cases (ICMP, THRIVES, Point of Care EHR Prompt, Ticaa’dom, Denny et al) [ 16 , 17 , 25 , 30 , 33 , 36 , 42 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

“Lessons Learned” Preventing Recurrent Ischemic Strokes through Secondary Prevention Programs: A Systematic Review

Lambert

Olulana

Bailey‐Davis

et al. 2021

JCM

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Recurrent ischemic strokes are a cause of significant healthcare burdens globally. Patients with uncontrolled vascular risk factors are more likely to develop recurrent ischemic strokes. This study aims to compile information gained from current secondary prevention programs. A pre-defined literature search strategy was applied to PubMed, SCOPUS, CINAHL, and Google Scholar databases, and studies from 1997 to 2020 were evaluated for quality, study aims, and outcomes. The search produced 1175 articles (1092 after duplicates were removed) and titles were screened; 55 titles were retained for the full-text analysis. Of the remaining studies, 31 were retained for assessment, five demonstrated long-term effectiveness, eight demonstrated short-term effectiveness, and 18 demonstrated no effectiveness. The successful studies utilized a variety of different techniques in the categories of physical fitness, education, and adherence to care plans to reduce the risk of recurrent strokes. The lessons we learned from the current prevention programs included (1) offer tailored care for underserved groups, (2) control blood pressure, (3) provide opportunities for medication dosage titration, (4) establish the care plan prior to discharge, (5) invest in supervised exercise programs, (6) remove barriers to accessing care in low resource settings, and (7) improve the transition of care.

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“…The Guidelines (GWTG) 5 , BRIDGE STROKE 6 also indicated that increased delivery of in-patient care based on guidelines could contribute to the favorable outcome of stroke patients 7 .…”

Section: the Get Withmentioning

confidence: 99%

Rationale and design of individualized quality improvement based on the Computer Analysing system to improve Stroke management quality Evaluation (CASE): a multicentre historically controlled study

Chen

Zhong

Gong

et al. 2019

Preprint

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Background: Guideline-based medical care has been identified to improve outcomes in stroke. However, data acquisition and medical quality management during hospital stay still need to be improved in China. We have developed a computer-based medical data collecting system, together with automated calculation of Key Performance Indicators (KPIs) and regular individualized education, and thus aim to explore whether it can improve the medical care quality of acute ischemic stroke (AIS) during hospital stay in stroke centers.Methods: The individualized quality improvement based on the Computer Analysing system to improve Stroke management quality Evaluation (CASE) trial is a prospective, multi-center, historical control study among 30 stroke centers in China. In this trial, the data is directly extracted from the saved original medical record of each AIS patient during hospital stay, regardless of different Electronic Medical Record System (EMRS) in each center. Then the automated calculation of KPIs and the regular education via tele-conference per month allows the clinicians to examine the causes of non-compliance of guideline-based care and develop programs to decrease their frequency. Discussion: We compare KPIs between pre-intervention stage and post-intervention stage (without or with education) among stroke centers. If proved effective, this approach might be generalized around China and even worldwide, where a unified EMRS is difficult to be applied and in-patient care needs to be improved.

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An international cluster-randomized quality improvement trial to increase the adherence to evidence-based therapies for acute ischemic stroke and transient ischemic attack patients: Rationale and design of the BRIDGE STROKE Trial

Cited by 12 publications

References 32 publications

Hypertension and Stroke: Update on Treatment

Hypertension and Stroke: Update on Treatment

“Lessons Learned” Preventing Recurrent Ischemic Strokes through Secondary Prevention Programs: A Systematic Review

Rationale and design of individualized quality improvement based on the Computer Analysing system to improve Stroke management quality Evaluation (CASE): a multicentre historically controlled study

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