Status:
ACTIVE_NOT_RECRUITING
Addressing Sleep Apnea Post-Stroke/TIA
Lead Sponsor:
VA Office of Research and Development
Conditions:
Ischemic Stroke
Transient Ischemic Attack (TIA)
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Effectively identifying and treating risk factors for ischemic stroke and transient ischemic attack (TIA) is important to patients, their family members, and healthcare systems. While obstructive slee...
Detailed Description
Approximately 11,000 Veterans present to a VAMC annually with an acute ischemic stroke or TIA. The cornerstone of secondary stroke/TIA prevention includes delivering timely, guideline-concordant vascu...
Eligibility Criteria
Inclusion
- As recruitment was at the facility-level, an ASAP a VAMCS had to have \>50 stroke/TIA admissions per year and have at least 1.0 FTE staff dedicated to systems redesign
- The sites were chosen because they are diverse in terms of geography and sleep infrastructure
- Local site investigators and their care teams will identify patients eligible for the QI intervention, specifically patients with ischemic stroke/TIA without a prior diagnosis of OSA
Exclusion
- VAMCs were excluded if they had \<=50 stroke/TIA admissions per year and did not have at least 1.0 FTE staff dedicated to systems redesign
- Local site investigators and their care teams will prioritize the protection of patients from harm and use their clinical expertise in identifying patients who would not be candidates for PAP therapy
- e.g., palliative care/hospice, inability to use PAP therapy \[e.g., orofacial injury\], or contraindication to PAP \[e.g., inability to clear secretions\]
Key Trial Info
Start Date :
April 2 2020
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 31 2024
Estimated Enrollment :
6 Patients enrolled
Trial Details
Trial ID
NCT04322162
Start Date
April 2 2020
End Date
July 31 2024
Last Update
April 12 2024
Active Locations (2)
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1
VA Connecticut Healthcare System West Haven Campus, West Haven, CT
West Haven, Connecticut, United States, 06516-2770
2
Richard L. Roudebush VA Medical Center, Indianapolis, IN
Indianapolis, Indiana, United States, 46202-2884