脑卒中三级康复方案与临床路径研究

注册号:

Registration number:

ChiCTR-TRC-14004503 

最近更新日期:

Date of Last Refreshed on:

2016-08-30 11:16:41 

注册时间:

Date of Registration:

2014-04-12 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

脑卒中三级康复方案与临床路径研究

Public title:

Establishment and evaluation to the effects of a clinical pathway for three-level stoke rehabilitation

注册题目简写:

English Acronym:

研究课题的正式科学名称:

脑卒中三级康复方案与临床路径研究

Scientific title:

Establishment and evaluation to the effects of a clinical pathway for three-level stoke rehabilitation

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

任彩丽 

研究负责人:

励建安 

Applicant:

Ren Caili 

Study leader:

Li Jianan 

申请注册联系人电话:

Applicant telephone:

+86 15306175051

研究负责人电话:

Study leader's
telephone:

+86 13705161766

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

sally7226@163.com

研究负责人电子邮件:

Study leader's E-mail:

lijianan@carm.org.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

江苏省南京市广州路300号江苏省人民医院康复医学科

研究负责人通讯地址:

江苏省南京市广州路300号江苏省人民医院康复医学科

Applicant address:

300 Guangzhou Road, Nanjing, Jiangsu, China

Study leader's address:

300 Guangzhou Road, Nanjing, Jiangsu, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

江苏省人民医院

Applicant's institution:

Jiangsu Province Hospital

研究负责人所在单位:

江苏省人民医院

Affiliation of the Leader:

Jiangsu Province Hospital

是否获伦理委员会批准:

Approved by ethic committee:

No

伦理委员会批件文号:

Approved No. of ethic committee:

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

Name of the ethic committee:

伦理委员会批准日期:

Date of approved by ethic committee:

2013-08-26 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

江苏省人民医院

Primary sponsor:

Jiangsu Province Hospital

研究实施负责(组长)单位地址:

江苏省f南京广州路300号

Primary sponsor's address:

300 Guangzhou Road, Nanjing, Jingsu, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

江苏

市(区县):

南京

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

江苏省人民医院/南京医科大学第一附属医院

具体地址:

江苏省f南京广州路300号

Institution
hospital:

Jiangsu Province Hospital/The First Affiliated Hospital of Nanjing Medical University

Address:

300 Guangzhou Road, Nanjing, Jingsu, China

经费或物资来源:

江苏省科技厅

Source(s) of funding:

Jiangsu Province Science and Technology Office

研究疾病:

脑卒中  

Target disease:

stroke

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

以优化脑卒中三级康复方案为基础制定脑卒中三级康复临床路径,进行随机、单盲、平行对照、多中心试验,探讨脑卒中三级康复临床路径的效果评价。  

Objectives of Study:

The purpose of this study is to optimize three-level stroke rehabilitation treatment and establish clinical pathway for three-level stroke rehabilitation, and evaluate whether the clinical pathway for three-level stroke rehabilitation is able to improve the outcome of stroke rehabilitation and evaluate its effect on hospital day and cost.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

合并脑外伤导致的脑出血或蛛网膜下腔出血。
有严重临床合并症或并发症:严重肝肾疾患、失代偿性心功能不全、3个月内曾有心脏或呼吸停止或心肌梗塞、严重肺炎或慢性阻塞性肺病、深静脉血栓等。
影响运动功能的其它疾病或病史,如遗留偏瘫侧肢体功能障碍的骨折病史、截肢、影响行走的下肢骨关节炎病史、恶性肿瘤、妊娠等。
患有严重的精神疾病或伴发精神症状者。
未签署知情同意书者。

Exclusion criteria:

Brain hemorrhage or Sub-arachnoid haemorrhage caused by cerebral trauma;
Severe medical condition in combination with stroke or severe complication that will influence outcomes;
Other diseases affecting motor functions;
Severe mental disorders;
Without informed consent.

研究实施时间:

Study execute time:

From 2012-06-01 00:00:00 To 2015-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2014-05-01 00:00:00 To 2015-12-31 00:00:00

干预措施:

Interventions:

组别:

临床路径组

样本量:

160

Group:

clinical pathway group

Sample size:

干预措施:

临床路径

干预措施代码:

Intervention:

clinical pathway

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江苏 

市(区县):

南京 

Country:

China

Province:

Jiangsu

City:

Nanjing

单位(医院):

江苏省人民医院/南京医科大学第一附属医院 

单位级别:

三级甲等 

Institution
hospital:

Jiangsu Province Hospital/The First Affiliated Hospital of Nanjing Medical University

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

江苏 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通医学院附属医院 

单位级别:

三级甲等 

Institution
hospital:

The Affiliated Hospital of Nantong Medical College

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

江苏 

市(区县):

 

Country:

China

Province:

Jiangsu

City:

Nantong

单位(医院):

南通医学院附属医院 

单位级别:

三级甲等 

Institution
hospital:

The Affiliated Hospital of Nantong Medical College

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

江苏 

市(区县):

徐州 

Country:

China

Province:

Jiangsu

City:

Xuzhou

单位(医院):

徐州医学云附属医院 

单位级别:

三级甲等 

Institution
hospital:

The Affiliated Hospital of Xuzhou Medical College

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

江苏 

市(区县):

无锡 

Country:

China

Province:

Jiangsu

City:

Wuxi

单位(医院):

无锡同仁(国际)康复医院 

单位级别:

三级 

Institution
hospital:

Wuxi Tongren (International)Rehabilitation Hospital

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

改良Barthel指数

指标类型:

主要指标

Outcome:

Modified Barthel Index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脑卒中ICF核心组合简版

指标类型:

主要指标

Outcome:

Brief ICF core set for stroke

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Fugl-Meyer运动功能评分

指标类型:

主要指标

Outcome:

Fugl-meyer motor assessment

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Gugging吞咽功能评估

指标类型:

主要指标

Outcome:

Gugging Swallowing Scree

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Brunnstrom运动功能恢复分期

指标类型:

次要指标

Outcome:

Brunnstrom motor stage

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

3米起立-行走计时测试

指标类型:

次要指标

Outcome:

The timed up and go test

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

经济效益指标

指标类型:

次要指标

Outcome:

Health economics evaluation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

医院管理指标

指标类型:

附加指标

Outcome:

Hospital management index

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 45 years
最大 Max age 75 years

性别:

男性

Gender:

Male

随机方法(请说明由何人用什么方法产生随机序列):

由统计专家在中心随机分配系统产生随机数字序列,并决定干预组和对照组相对应的随机数字。

Randomization Procedure (please state who generates the random number sequence and by what method):

The statistician (JR) generated the random allocation sequence.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

随机分组对研究人员、实施治疗者、受试者及结果测量者均实施盲法,随机分组后对研究人员揭盲,随机分组后评估者单盲。

Blinding:

Researchers, care providers, subjects and outcome assessors are blinded to group assignment. The outcome assessors remained blinded until the subject had completed study follow-up.

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

Not stated

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Not stated

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

Not stated

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Not stated

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2014-04-13 00:00:00