Study Protocol: IMPETUS: Implementing a Uniform Stroke Care Pathway in Medical Colleges of India: IMPETUS Stroke

被引：2

作者：

Bhatia, Rohit ^{[1
]}

Haldar, Partha ^{[2
]}

Puri, Inder ^{[3
]}

Srivastava, M. V. Padma ^{[1
]}

Bhoi, Sanjeev ^{[4
]}

Jha, Menka ^{[4
]}

Dey, Anupam ^{[5
]}

Naik, Suprava ^{[6
]}

Guru, Satyabrata ^{[7
]}

Singh, Mamta Bhushan ^{[1
]}

Vishnu, V. Y. ^{[1
]}

Rajan, Roopa ^{[1
]}

Gupta, Anu ^{[1
]}

Vibha, Deepti ^{[1
]}

Pandit, Awadh Kishore ^{[1
]}

Agarwal, Ayush ^{[1
]}

Salunkhe, Manish ^{[1
]}

Singh, Gunjan ^{[1
]}

Prasad, Deepshikha ^{[1
]}

Panda, Samhita ^{[8
]}

Anand, Sucharita ^{[8
]}

Rohila, Amit Kumar ^{[9
]}

Khera, Pushpinder S. ^{[10
]}

Tiwari, Sarbesh ^{[10
]}

Bhaskar, S. ^{[11
]}

Garg, Mayank ^{[11
]}

Kumar, Niraj ^{[12
]}

Dhar, Minakshi ^{[13
]}

Tiwari, Ashutosha ^{[12
]}

Agrawal, Naman ^{[14
]}

Raju, Garuda Buchi ^{[15
]}

Garg, Jyoti ^{[16
]}

Ray, Biman Kanti ^{[17
]}

Bhardwaj, Amit ^{[18
]}

Verma, Alok ^{[19
]}

Dongre, Nikhil ^{[19
]}

Chhina, Gurpreet ^{[20
]}

Sibia, Raminder ^{[21
]}

Kaur, Rupinderjeet ^{[21
]}

Zanzmera, Paresh ^{[22
]}

Gamit, Amit ^{[22
]}

Iype, Thomas ^{[23
]}

Garg, Ravinder ^{[24
]}

Singh, Sulena ^{[24
]}

Kumar, Ashok ^{[25
]}

Ranjan, Abhay ^{[25
]}

Sardana, Vijay ^{[26
]}

Soni, Dilip ^{[26
]}

Bhushan, Bharat ^{[26
]}

Dhamija, Rajinder K. ^{[27
]}

机构：

[1] All India Inst Med Sci, Dept Neurol, New Delhi, India

[2] All India Inst Med Sci, Ctr Community Med, New Delhi, India

[3] Sardar Patel Med Coll, Dept Neurol, Bikaner, Rajasthan, India

[4] All India Inst Med Sci, Dept Neurol, Bhubaneswar, Odisha, India

[5] All India Inst Med Sci, Dept Med, Bhubaneswar, Odisha, India

[6] All India Inst Med Sci, Dept Radiodiag, Bhubaneswar, Odisha, India

[7] All India Inst Med Sci, Dept Emergency & Trauma Med, Bhubaneswar, Odisha, India

[8] All India Inst Med Sci, Dept Neurol, Jodhpur, Rajasthan, India

[9] All India Inst Med Sci, Dept Med, Jodhpur, Rajasthan, India

[10] All India Inst Med Sci, Dept Diagnost & Intervent Radiol, Jodhpur, Rajasthan, India

[11] All India Inst Med Sci, Dept Neurosurg, Jodhpur, Rajasthan, India

[12] All India Inst Med Sci, Dept Neurol, Rishikesh, Uttarakhand, India

[13] All India Inst Med Sci, Dept Med, Rishikesh, Uttarakhand, India

[14] All India Inst Med Sci, Dept Emergency Med, Rishikesh, Uttarakhand, India

[15] Andhra Med Coll, Dept Neurol, Vishakapatnam, India

[16] Atal Bihari Vajpayee Inst Med Sci, Dept Neurol, New Delhi, India

[17] IPGMER, Dept Neurol Bangur, Inst Neurol, Kolkata, W Bengal, India

[18] Dr Rajendra Prasad Govt Med Coll Tanda, Dept Neurol, Sadarpur, India

[19] GSVM Med Coll Kanpur, Dept Neurol, Kanpur, Uttar Pradesh, India

[20] Govt Med Coll Amritsar, Dept Med, Patiala, Punjab, India

[21] Govt Med Coll Patiala, Dept Med, Patiala, Punjab, India

[22] Govt Med Coll Surat, Dept Neurol, Surat, Gujarat, India

[23] Govt Med Coll Trivandrum, Dept Neurol, Thiruvananthapuram, Kerala, India

[24] Guru Gobind Singh Med Coll, Dept Med, Kotakpura, Punjab, India

[25] Indira Gandhi Inst Med Sci, Dept Neurol, Patna, Bihar, India

[26] Kota Med Coll, Dept Neurol, Kota, Rajasthan, India

[27] Lady Harding Med Coll, Dept Neurol, New Delhi, India

[28] Pandit Bhagwat Dayal Sharma Post Grad Inst Med Sc, Dept Neurol, Rohtak, Haryana, India

[29] Sardar Vallabhbhai Patel Inst Med Sci & Res Ahmed, Dept Neurol, Ahmadabad, Gujarat, India

[30] Univ Coll Med Sci, Dept Med, New Delhi, India

[31] VMMC, Dept Neurol, New Delhi, India

[32] VMMC, Dept Med, New Delhi, India

[33] Safdarjang Hosp, New Delhi, India

来源：

ANNALS OF INDIAN ACADEMY OF NEUROLOGY | 2022年 / 25卷 / 04期

关键词：

Implementation; India; stroke; stroke care pathway; BURDEN; INCOME;

D O I：

10.4103/aian.aian_1033_21

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction: In India, a national program for stroke (national programme for the control of cardiovascular diseases, diabetes, cancer, and stroke) and stroke management guidelines exist. Its successful implementation would need an organized system of stroke care in practice. However, many challenges exist including lack of awareness, prehospital notification systems, stroke ready hospitals, infrastructural weaknesses, and rehabilitation. We present here a protocol to investigate the feasibility and fidelity of implementing a uniform stroke care pathway in medical colleges of India. Methods and Analysis: This is a multicentric, prospective, multiphase, mixed-method, quasi-experimental implementation study intended to examine the changes in a select set of stroke care-related indicators over time within the sites exposed to the same implementation strategy. We shall conduct process evaluation of the implementation process as well as evaluate the effect of the implementation strategy using the interrupted time series design.During implementation phase, education and training about standard stroke care pathway will be provided to all stakeholders of implementing sites. Patient-level outcomes in the form of modified Rankin Scale score will be collected for all consecutive patients throughout the study. Process evaluation outcomes will be collected and reported in the form of various stroke care indicators. We will report level and trend changes in various indicators during the three study phases. Discussion: Acute stroke requires timely detection, management, and secondary prevention. Implementation of the uniform stroke care pathway is a unique opportunity to promote the requirements of homogenous stroke care in medical colleges of India.

引用

页码：640 / 646

页数：7

共 50 条

[1] IMPETUS Stroke: Assessment of hospital infrastructure and workflow for implementation of uniform stroke care pathway in India
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[J]. INTERNATIONAL JOURNAL OF STROKE, 2024, 19 (01) : 76 - 83
[2] IMPLEMENTATION OF AN EVALUATION AND TREATMENT PACKAGE FOR UNIFORM STROKE CARE AND OUTCOMES IN MEDICAL COLLEGES IN INDIA (IMPETUS STROKE): INTERIM OBSERVATION ON PATIENT OUTCOME
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Gopi, S.
Kumar, T. S.
Zanzmera, P.
Gamit, A.
Sibia, R.
Kaur, R.
Bhardwaj, A.
Bhoi, S.
Jha, M.
Sambal, P.
Dey, A.
Guru, S.
Naik, S.
Singh, N.
Tiwari, A.
Singh, M.
Dhar, M.
Agarwal, N.
Chandan, S.
Malik, R.
Bala, K.
Dabla, S.
Chawla, M. P. S.
Garg, J.
Garg, R.
Singh, S.
Kumar, A.
Ranjan, A.
Darole, P.
Sundar, U.
[J]. INTERNATIONAL JOURNAL OF STROKE, 2023, 18 (03) : 354 - 355
[3] IMPLEMENTATION OF AN EVALUATION AND TREATMENT PACKAGE FOR UNIFORM STROKE CARE AND OUTCOMES IN THE MEDICAL COLLEGES IN INDIA (IMPETUS STROKE): MID-TERM IMPLEMENTATION COURSE
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Gupta, S.
Srivastava, P.
Singh, M.
Sardana, V.
Soni, D.
Bhushan, B.
Verma, A.
Dongre, N.
Panda, S.
Anand, S.
Rohila, A.
Khera, P.
Tiwari, S.
Bhaskar, S.
Garg, M.
Ray, B.
Puri, I.
Raju, G.
Gopi, S.
Kumar, T. S.
Zanzmera, P.
Gamit, A.
Sibia, R.
Kaur, R.
Bhardwaj, A.
Bhoi, S.
Jha, M.
Sambal, P.
Dey, A.
Guru, S.
Naik, S.
Singh, N.
Dhar, M.
Tiwari, A.
Singh, M.
Agarwal, N.
Chandan, S.
Malik, R.
Chaudhary, N.
Bala, K.
Dabla, S.
Chawla, M. P. S.
Garg, J.
Garg, R.
Singh, S.
Kumar, A.
[J]. INTERNATIONAL JOURNAL OF STROKE, 2023, 18 (03) : 38 - 39
[4] IMPLEMENTATION OF EVALUATION AND TREATMENT PACKAGE FOR UNIFORM STROKE CARE AND OUTCOMES IN MEDICAL COLLEGES IN INDIA (IMPETUSTROKE): IMPLEMENTATION STRATEGIES TO IMPROVE STROKE CARE PATHWAY
Gupta, S.
Bhatia, R.
Haldar, P.
Prasad, D.
Salunkhe, M.
Srivastava, P.
Singh, M.
Bhoi, S.
Jha, M.
Sambal, P.
Shith, A.
Panda, S.
Anand, S.
Jaiswar, S.
Singh, N.
Tiwari, A.
Singh, M.
Sharma, A.
Raju, G.
Gopi, S.
Kumar, T. S.
Sakinala, Y.
Chawla, M. P. S.
Garg, J.
Yadav, A.
Ray, B.
Dutta, D.
Bhardwaj, A.
Singh, S.
Verma, A.
Dongre, N.
Pandey, M.
Chinna, G.
Fatima, N.
Sibia, R.
Kaur, R.
Seth, S.
Zanzmera, P.
Shah, K.
Iype, T.
Maya, A.
Garg, R.
Singh, S.
Kaur, S.
Kumar, A.
Ranjan, A.
Kumar, N.
Sardana, V.
Soni, D.
Bhushan, B.
[J]. INTERNATIONAL JOURNAL OF STROKE, 2023, 18 (03) : 35 - 36
[5] IMPLEMENTATION OF AN EVALUATION AND TREATMENT PACKAGE FOR UNIFORM STROKE CARE AND OUTCOMES IN MEDICAL COLLEGES IN INDIA (IMPETUSTROKE): QUALITATIVE ASSESSMENT OF FACILITATORS AND BARRIERS
Prasad, D.
Bhatia, R.
Haldar, P.
Gupta, S.
Salunkhe, M.
Singh, G.
Srivastava, M. V. P.
Singh, M.
Bhoi, S.
Jha, M.
Sambal, P.
Panda, S.
Anand, S.
Singh, N.
Tiwari, A.
Singh, M.
Raju, G.
Gopi, S.
Kumar, T. S.
Chawla, M. P. S.
Garg, J.
Ray, B.
Bhardwaj, A.
Verma, A.
Dongre, N.
Chinna, G.
Sibia, R.
Kaur, R.
Zanzmera, P.
Iype, T.
Garg, R.
Singh, S.
Kumar, A.
Ranjan, A.
Sardana, V.
Soni, D.
Bhushan, B.
Saluja, A.
Darole, P.
Bala, K.
Dabla, S.
Puri, I.
Shah, S.
Shah, S.
Ranga, G.
Nath, S.
Chandan, S.
Malik, R.
Chaudhary, N.
[J]. INTERNATIONAL JOURNAL OF STROKE, 2023, 18 (03) : 361 - 362
[6] A Realist Evaluation of Mechanisms and Contexts for Facilitating the Implementation of Supported Self-Management in Community Stroke Care (The IMPETUS Study)
Kidd, Lisa
Brown, Julie
Mason, Helen
Quinn, Terry
Gallacher, Katie I.
Jones, Fiona
Fisher, Rebecca
Lebedis, Therese
Barber, Mark
Brennan, Katrina
Gilmour, Betty
Fraser, Colin
Mooney, Patricia
Taggart, Audrey
[J]. HEALTH & SOCIAL CARE IN THE COMMUNITY, 2024, 2024
[7] BARRIERS AND FACILITATORS TO IMPLEMENTING ORGANIZED STROKE CARE IN INDIA: RESULTS FROM INDIA OF THE ORGANIZED STROKE CARE ACROSS INCOME LEVELS (OSCAIL STUDY)
Dawar, D.
Pandian, J.
Bosch, J.
O'Donnell, M.
Langhorne, P.
Kaddumukasa, M.
Depaul, V.
Urimubenshi, G.
Katsoulis, L.
Bidulka, P.
Hamilton, L.
Mathew, S.
Pathak, A.
[J]. INTERNATIONAL JOURNAL OF STROKE, 2020, 15 (1_SUPPL) : 329 - 329
[8] IMPLEMENTING CANADIAN STROKE BEST PRACTICE RECOMMENDATIONS IN ACUTE CARE: DEVELOPMENT OF AN ACUTE STROKE PATHWAY FOR SPEECH LANGUAGE PATHOLOGY
Mallet, K.
Lecompte-Collin, J.
Donnelly, B.
Hamdy, N.
Gehring, S.
Beauchemin, F.
[J]. INTERNATIONAL JOURNAL OF STROKE, 2018, 13 : 129 - 129
[9] Development and implementation of acute stroke care pathway in a tertiary care hospital in India: A cluster-randomized study
Prasad, Kameshwar
[J]. NEUROLOGY INDIA, 2016, 64 (03) : 591 - +
[10] Development and implementation of acute stroke care pathway in a tertiary care hospital in India: A cluster-randomized study
Rai, Neha
Prasad, Kameshwar
Bhatia, Rohit
Vibha, Deepti
Singh, Mamta Bhushan
Rai, Vinod K.
Kumar, Amit
[J]. NEUROLOGY INDIA, 2016, 64 : 39 - 45

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