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N/A N=1,196 Randomized Single-blind Health Services Research

Coordinated, Collaborative, Comprehensive, Family-based, Integrated, Technology-enabled Stroke Care

Stroke · Stroke, Ischemic · Stroke, Acute · Stroke Sequelae · Engagement, Patient

Enrolled (actual)
1,196
Serious AEs
28.3%
Results posted
May 2026
Primary outcome: Primary: Stroke Impact Scale (SIS) at 12-months Post-discharge — 80.42; 83.85 Score

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Integrated Stroke Practice Unit (Other); Comprehensive or Primary Stroke Center (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Vanderbilt University Medical Center
Primary completion
Sep 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Stroke Impact Scale (SIS) at 12-months Post-discharge
80.42; 83.85
PRIMARY
Modified Rankin Scale at 12 Months Post-stroke
214; 255; 134; 107
SECONDARY
Stroke Impact Scale (SIS) at 3-months Post-discharge
78.88; 80.97
SECONDARY
Stroke Impact Scale (SIS) at 6-months Post-discharge
80.15; 81.39
SECONDARY
Modified Rankin Scale (mRS) at 3-months Post-discharge
227; 239; 143; 100
SECONDARY
Modified Rankin Scale (mRS) at 6-months Post-discharge
208; 219; 134; 104
SECONDARY
Stroke Risk Factors - Blood Pressure Control (BP) at 3-months Post-discharge
200; 164; 156; 210
SECONDARY
Stroke Risk Factors-Blood Pressure (BP) at 6-months Post-discharge
184; 152; 133; 178
SECONDARY
Stroke Risk Factors-BP at 12-months Post-discharge
195; 147; 121; 187
SECONDARY
Stroke Risk Factors - Cholesterol (LDL) at 3-months Post-discharge
113; 61; 82; 56
SECONDARY
Stroke Risk Factors - Cholesterol (LDL) at 6-months Post-discharge
63; 32; 69; 45
SECONDARY
Stroke Risk Factors - Cholesterol (LDL) at 12-months Post-discharge
81; 40; 61; 56
SECONDARY
Stroke Risk Factors - Blood Sugar (HgBA1c) at 3-months Post-discharge
96; 40; 40; 27
SECONDARY
Stroke Risk Factors - Blood Sugar (HgBA1c) at 6-months Post-discharge
66; 34; 27; 25
SECONDARY
Stroke Risk Factors - Blood Sugar (HgBA1c) at 12-months Post-discharge
75; 39; 34; 32
SECONDARY
Stroke Risk Factors - Body Mass Index (BMI) in kg/m^2 at 3-months Post-discharge
28.75; 29.66
SECONDARY
Stroke Risk Factors - Body Mass Index (BMI) in kg/m^2 at 6-months Post-discharge
28.50; 29.24
SECONDARY
Stroke Risk Factors - Body Mass Index (BMI) in kg/m^2 at 12-months Post-discharge
28.76; 29.06
SECONDARY
Stroke Risk Factors - Diet at 3-months Post-discharge
164; 128; 207; 217
SECONDARY
Stroke Risk Factors - Diet at 6-months Post-discharge
129; 96; 197; 222
SECONDARY
Stroke Risk Factors - Diet at 12-months Post-discharge
141; 109; 187; 240
SECONDARY
Stroke Risk Factors - Smoking Status/Cessation at 3-months Post-discharge
30; 40; 343; 310
SECONDARY
Stroke Risk Factors - Smoking Status/Cessation at 6-months Post-discharge
28; 35; 299; 283
SECONDARY
Stroke Risk Factors - Smoking Status/Cessation at 12-months Post-discharge
22; 39; 309; 310
SECONDARY
Stroke Risk Factors - Exercise at 3-months Post-discharge
133; 156; 239; 191
SECONDARY
Stroke Risk Factors - Exercise at 6-months Post-discharge
126; 119; 200; 199
SECONDARY
Stroke Risk Factors - Exercise at 12-months Post-discharge
152; 155; 178; 194
SECONDARY
Mortality at 12-months Post-discharge
39; 30; 577; 550
SECONDARY
Rehospitalization
175; 162; 439; 418
SECONDARY
Recurrence
39; 32; 575; 548
SECONDARY
Time at Home
0.84; 0.92
SECONDARY
Depression: Patient Health Questionnaire (PHQ-9) at 3-months Post-discharge
3.66; 4.45
SECONDARY
Depression: Patient Health Questionnaire (PHQ-9) at 6-months Post-discharge
3.21; 3.88
SECONDARY
Depression: Patient Health Questionnaire (PHQ-9) at 12-months Post-discharge
2.58; 3.60
SECONDARY
Modified Caregiver Strain Index (mCSI) at 3-months Post-discharge
5.39; 5.38
SECONDARY
Modified Caregiver Strain Index (mCSI) at 6-months Post-discharge
5.20; 4.60
SECONDARY
Modified Caregiver Strain Index (mCSI) at 12-months Post-discharge
6.12; 4.15

Summary

Stroke is the 5th leading cause of death and the leading cause of adult disability in the United States (US). Stroke is a complex disease with multiple interacting risk factors (including genetic, high blood pressure and cholesterol, and lifestyle factors like smoking, diet, and exercise) that lead to initial and recurrent stroke. Up to 90% of stroke survivors have some functional deficit that impacts both physical and mental health.

Eligibility Criteria

Inclusion Criteria

  • Age 18+.
  • Clinical diagnosis of acute stroke with brain imaging compatible with intracerebral hemorrhage or ischemic stroke (including normal brain scan); see International Classification of Disease 10 (ICD 10) codes.
  • English or Spanish speaking subjects.
  • Patient admitted within 7 days of their index stroke event.
  • Patient is discharged alive and not to hospice care.
  • Patient living at discharge within the geography of recruitment for that C3FIT site.
  • Pre-morbid Modified Rankin Score (mRS) score of 0-1.
  • Patient and/or surrogate give consent to participate after an informed consent process.
  • Patients who go to rehabilitation inpatient therapy or other care facilities are eligible, as long as they reside in the geographic are of recruitment and do not go to hospice care.

Exclusion Criteria

  • Clinical transient ischemic attack (TIA)38-41 is excluded even if there is a computerized tomography (CT) or magnetic resonance imaging (MRI) lesion corresponding to the clinical syndrome at presentation.
  • Already enrolled or planned enrollment in another clinical trial for which participation in C3FIT would be compromised with regard to follow-up assessment of outcomes or continuation in C3FIT.
  • Patients with a planned admission to hospice care prior to consent.
  • Patients not anticipated to survive for 1-year due to neurological or other medical status (i.e., advanced cancer, hospice care, heart disease, etc.).
  • Patients who in the opinion of the site investigator cannot be involved in follow up care.
  • Inability or unwillingness of subject or legal guardian/representative to understand and cooperate with study procedures or provide informed consent.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04000971). 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.

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