Arterial Spin Label Depicted Ischemic Stroke Cohort (ASLIS)
Study Details
Study Description
Brief Summary
Establish a clinical cohort of acute ischemic stroke patients and find the determinant of the prognosis.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
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Enrollment: screening the candidates based on the inclusion and exclusion criteria, and sign the informed consent.
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Baseline evaluation: evaluate baseline situation of enrolled candidates.
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Inpatient view: view and evaluate enrolled candidates respectively at day 1, 3, 7 and 14 after stroke, and record the results.
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Follow-up: view the candidates at 90 days and one year after stroke onset, and record the results.
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Data analysis: analyze the results.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Acute ischemia stroke Best medcine treatment. It including antiplatelet drugs, statins, hypotensive drugs, antidiabetics, neurotrophic drugs, butylphthalide, edaravone. |
Other: routine therapy of acute ischemia stroke
Routine therapy of acute ischemia stroke based on the guidelines, which generally includes two parts: evaluation and medicine treatment. Evaluation includes peripheral blood test, radiologic examination, electrophysiological examination, ultrasonic examination. Medicine treatment includes drug therapy and rehabilitation.
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Outcome Measures
Primary Outcome Measures
- Progressively deterioration in acute phase [7 days after ischemia stroke onset]
Number of participants whose SNOB (Standardised nursing observations for stroke) score at 7 days post ischemia stroke ≤ 2 points compared to baseline, and/or NIHSS score at 7 days post ischemia stroke ≥ 2 points compared to baseline are identified as progressively deterioration in acute phase.
- Bad prognosis of acute ischemia stroke [90 days after ischemia stroke onset]
Number of participants whose mRS (Modified rankin scale) score at 90 days after ischemia > 2 are identified as bad prognosis.
Secondary Outcome Measures
- Recurrent vascular episode [1 year]
Including transient ischemia attack, intracranial hemorrhage, ischemia stroke
- Recurrent artery stenosis [one year after stenting]
Degree of artery stenosis at one year after stenting > 50%
- Unhealthy status [1 year]
Any dimension in EQ-5D-3L (the generic three-level EuroQol five-dimensional questionnaire) score ≥ 2
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age 30-90, no gender restrictions.
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Onset of disease ≤7 days.
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Meet either of the following two conditions:
① Transient ischemic attack (TIA)
② Ischemia stroke (IS) Note: Acute IS diagnosis criteria: sudden and persistent focal or widespread neurological dysfunction, excluding other non-vascular causes of brain dysfunction (such as brain infection, head injury, brain tumor, epilepsy, severe metabolic diseases, or degenerative neurological diseases), confirmed by image as new IS. TIA diagnosis criteria: sudden and reversible focal neurological or retinal ischemic deficit caused by a reversible ischemia, usually lasting less than 24 hours, with no evidence of new IS on imaging, and excluding other non-ischemic causes (such as brain infection, head injury, brain tumor, epilepsy, severe metabolic diseases, or degenerative neurological diseases).
- Signed informed consent
Exclusion Criteria:
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Clear cause of ischemic stroke other than atrial fibrillation.
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Other ischemic strokes with a clear cause.
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Presence of non-vascular intracranial disease.
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Presence of severe systemic diseases.
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Pregnancy or lactation.
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Unable to tolerate or cooperate with MRI examination.
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Unable to comply with follow-up due to geographical or other reasons.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Ruijin hospital | Shanghai | Shanghai | China | 200000 |
Sponsors and Collaborators
- Ruijin Hospital
Investigators
- Principal Investigator: Wei Jin, PhD. MD., Ruijin Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RJ_ASLIS