Stroke Therapy, Education, Prevention: Telemedicine Outpatient Initiative Trial
| Status: | Recruiting |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | 21 - Any |
| Updated: | 4/2/2016 |
| Start Date: | May 2013 |
| Contact: | Darren Larsen, RN |
| Email: | larsedar@ohsu.edu |
This study aims to determine whether patients who have had a stroke caused by a blockage of
blood flow to the brain can have medical follow up after they leave the hospital in their
home using a camera connected to a computer, also called telemedicine. Patients who have
follow-up with telemedicine will be compared with patients following up in the usual way, by
coming to clinic, and will have the same expectations for medical care and lifestyle changes
like quitting smoking, exercising, and controlling their cholesterol. The study will try to
show those stroke patients who live 75 miles or more from Oregon Health & Science University
(OHSU) and use a computer for follow up: 1) Will be able to complete the recommended visits
using telemedicine in the home as well as those who come to clinic; 2) Will have blood
pressures controlled at one year's time as well as those who follow up in the usual way by
coming into clinic; 3) The patients followed with telemedicine will be as satisfied with the
type of follow up they had as those followed in the usual way in the clinic. In the future,
more patients who live at a distance from a major hospital might be able to get quality
stroke care follow up using telemedicine if the study finds that telemedicine does meet
these goals.
blood flow to the brain can have medical follow up after they leave the hospital in their
home using a camera connected to a computer, also called telemedicine. Patients who have
follow-up with telemedicine will be compared with patients following up in the usual way, by
coming to clinic, and will have the same expectations for medical care and lifestyle changes
like quitting smoking, exercising, and controlling their cholesterol. The study will try to
show those stroke patients who live 75 miles or more from Oregon Health & Science University
(OHSU) and use a computer for follow up: 1) Will be able to complete the recommended visits
using telemedicine in the home as well as those who come to clinic; 2) Will have blood
pressures controlled at one year's time as well as those who follow up in the usual way by
coming into clinic; 3) The patients followed with telemedicine will be as satisfied with the
type of follow up they had as those followed in the usual way in the clinic. In the future,
more patients who live at a distance from a major hospital might be able to get quality
stroke care follow up using telemedicine if the study finds that telemedicine does meet
these goals.
Inclusion Criteria:
1. Age 21 and over.
2. Diagnosis of ischemic stroke or transient ischemic attack (TIA).
3. mRS≤3 or discharged home or inpatient rehabilitation with the intention to return
home with reliable caregiver, regardless of mRS score.
4. Patient is willing and able to comply with all follow up visits for the protocol.
5. Patient available by phone.
6. Patient or caregiver must be able to operate an automated blood pressure cuff.
7. Patients living beyond a 75 mile radius must have private access to a computer to
facilitate in-home telemedicine follow up visits.
Exclusion Criteria:
1. History of uncontrolled severe hypertension or refractory to medical management.
2. Severe liver impairment (AST or ALT > 3x normal).
We found this trial at
1
site
3181 Southwest Sam Jackson Park Road
Portland, Oregon 97239
Portland, Oregon 97239
503 494-8311
Oregon Health and Science University In 1887, the inaugural class of the University of Oregon...
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