N/A
N=5,882
Comprehensive Post-Acute Stroke Services
Stroke · Transient Ischemic Attack
Bottom Line
View on ClinicalTrials.gov: NCT02588664 ↗Enrolled (actual)
5,882
Serious AEs
0.0%
Results posted
Jun 2021
Primary outcome: Primary: Stroke Impact Scale (SIS-16) — 79.9; 80.6 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- COMPASS Intervention (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Wake Forest University Health Sciences
- Primary completion
- Jul 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Stroke Impact Scale (SIS-16) |
79.9; 80.6 | — |
| SECONDARY Modified Caregiver Strain Index |
21.9; 21.9 | — |
| SECONDARY Self-reported General Health |
65.4; 66.2 | — |
| SECONDARY Modified Rankin Score |
1; 1 | — |
| SECONDARY Number of Participants Physically Active and Not Physically Active |
488; 431; 1064; 985 | — |
| SECONDARY Number of Participants With or Without Depression |
1122; 1025; 343; 284 | — |
| SECONDARY Cognition (MoCA 5-min Protocol) |
24.3; 24.3 | — |
| SECONDARY Medication Adherence (Morisky Green Levine Scale-4) |
0; 0 | — |
| SECONDARY Number of Participants With or Without Falls |
334; 299; 1264; 1158 | — |
| SECONDARY Self-reported Fatigue (PROMIS Fatigue Instrument) |
51.5; 51.0 | — |
| SECONDARY Satisfaction With Care |
6.9; 7.0 | — |
| SECONDARY Number of Participants Who Do or Do Not Monitor Blood Pressure at Home |
1013; 1040; 573; 407 | — |
| SECONDARY Self-reported Blood Pressure |
— | — |
| SECONDARY Number of Subjects With Claims-based All-cause Hospital Readmissions |
516; 485 | — |
| SECONDARY Number of Subjects With Claims-based All-cause Hospital Readmissions |
516; 485 | — |
| SECONDARY Number of Subjects With Claims-based All-cause Hospital Readmissions |
516; 485 | — |
| SECONDARY Number of Subjects With All-cause Mortality Using NC State Death Index |
56; 55; 3137; 2634 | — |
| SECONDARY Number of Subjects With All-cause Mortality Using NC State Death Index & Fee-For-Service (FFS) Medicare |
105; 91; 1088; 978 | — |
| SECONDARY Number of Subjects With Claims-based Emergency Department Visits |
691; 626 | — |
| SECONDARY Number of Subjects With Claims-based Admissions to Skilled Nursing Facilities (SNF) and Inpatient Rehabilitation Facilities (IRF) |
142; 150 | — |
| SECONDARY Number of Subjects With Claims-based Use of Transitional Care Management Billing Codes |
239; 345 | — |
Summary
The purpose of this pragmatic study is to investigate whether implementation of a comprehensive post-acute stroke service model that integrates Early Supported Discharge (ESD) and Transitional Care Management (TCM) for stroke survivors discharged home improves functional outcomes post-stroke, reduces caregiver stress, and reduces readmission rates.
Eligibility Criteria
Inclusion Criteria
- English and Spanish speaking stroke patients with diagnosis of ischemic stroke, hemorrhagic stroke or TIA who are discharged home from participating hospitals
- Must be 18 years of age and older at the time of the stroke
Exclusion Criteria
- Excludes subdural or aneurysmal subarachnoid hemorrhage
Data sourced from ClinicalTrials.gov (NCT02588664). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.