Blodtrykkvariasjon og iskemisk slagutfall (BP-VISO)
The goal of this observational study is to evaluate the role of blood pressure (BPV) variability in patients suffering from acute ischemic stroke. The main questions it aims to answer are:
- To determine the association of BPV with functional/cognitive outcome after ischemic stroke.
- To determine a pathophysiologic mechanism of BPV's deleterious effect on functional outcome.
- To evaluate potential treatment targets to pharmacologically reduce BPV after ischemic stroke.
Studieoversikt
Status
Detaljert beskrivelse
Increased blood pressure variability (BPV) has consistently been associated with two to three times higher risk of disability or mortality after acute ischemic stroke (AIS) in retrospective analyses, independent of mean blood pressure. The investigators' central hypothesis is that increased BPV is harmful after AIS and warrants reduction. However, prior BPV research in AIS patients has been retrospective and limited by non-standardized BP measurement and, therefore, BPV is not mentioned in current stroke guidelines. To address the limitations of prior BPV research, determine mechanisms of BPV's deleterious effect, and identify potentially effective methods to reduce BPV, the proposed study will: 1) prospectively validate that "short-term" and "long-term" BPV after AIS onset is associated with functional outcome and define the effect size of different levels of BPV, 2) utilize portable MRI to confirm that final infarct volume is mechanistically related to BPV, and 3) utilize bedside pupillometry to determine how the autonomic nervous system contributes to BPV after AIS and evaluate the class effect of antihypertensive medications on BPV. To achieve these goals, the study will enroll 150 patients who have anterior circulation stroke and a baseline NIH Stroke Scale ≥4 within 48 hours of AIS onset at three study sites. With completion of the Aims, the study will define the outcome for a future trial, the effect size of BPV on individual outcomes and composites, the duration for lowering BPV (24-72 hours vs. weeks or months), and potential interventions to reduce BPV. Pharmacologic BPV reduction would be an inexpensive and widely available intervention, able to be administered in a range of healthcare settings. By completing the proposed aims, the investigators will be ideally positioned to test accessible targeted interventions to diminish the morbidity and mortality of AIS.
Studietype
Registrering (Antatt)
Kontakter og plasseringer
Studiekontakt
- Navn: Adam de Havenon, MD
- Telefonnummer: 203-785-4085
- E-post: adam.dehavenon@yale.edu
Studiesteder
-
-
Connecticut
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New Haven, Connecticut, Forente stater, 06510
- Rekruttering
- Yale-New Haven Hospital
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Hovedetterforsker:
- Adam de Havenon, MD
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Ta kontakt med:
- Alison Champagne, MD
- E-post: alison.champagne@yale.edu
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Illinois
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Chicago, Illinois, Forente stater, 60637
- Rekruttering
- University of Chicago Medical Center
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Ta kontakt med:
- Shyam Prabhakaran, MD
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Massachusetts
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Boston, Massachusetts, Forente stater, 02114
- Rekruttering
- Massachusetts General Hospital
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Ta kontakt med:
- W. Taylor Kimberly, MD, PhD
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-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Prøvetakingsmetode
Studiepopulasjon
Patients with acute ischemic stroke serve as the source population for the study and will be identified as inpatients at participating centers.
Beskrivelse
Inclusion Criteria:
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Ischemic stroke according to the American Heart Association (AHA) definition and either:
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CT or MRI showing ischemic stroke in the anterior circulation (frontal, parietal or superior temporal lobes), or
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Occlusion of the internal carotid, middle cerebral or anterior cerebral arteries on computed tomography angiography (CTA) or magnetic resonance angiography (MRA)
Onset of ischemic stroke within 48 hours and able to get baseline pMRI within 72 hours of arrival
4) NIH Stroke Scale ≥ 4 at time of enrollment
Exclusion Criteria:
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Pre-morbid mRS ≥3
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Predicted hospital system admission <72 hours
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Pacemaker or other MRI contraindications per American College of Radiology guidelines
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Observasjonsmodeller: COHORT
- Tidsperspektiver: PROSPECTIVE
Kohorter og intervensjoner
Gruppe / Kohort |
|---|
|
Acute Ischemic Stroke
Blood pressure variability will be measured in the patients with acute ischemic stroke. |
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in Functional outcome
Tidsramme: 90 days and 1 Year
|
Modified Rankin Scale, the scale uses a range of 0-6 where higher scores indicate decreased function. |
90 days and 1 Year
|
|
Imaging outcome
Tidsramme: 72 hours +/- 60 hours
|
Final infarct volume on MRI at 72 hours |
72 hours +/- 60 hours
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Incidence of stroke
Tidsramme: 90 days
|
Incidence of new (recurrent) ischemic stroke |
90 days
|
|
Incidence of stroke
Tidsramme: 1 year
|
Incidence of new (recurrent) ischemic stroke |
1 year
|
|
Change in Montreal Cognitive Assessment scale (MoCA-BLIND) to assess post-stroke cognition
Tidsramme: 3 days and 1 year
|
Post-stroke cognition will be assessed using the MoCA-BLIND, The MoCA-BLIND assess six different cognitive domains (excludes visual stimulus) over the phone: memory, attention, language, abstraction, delayed recall, and orientation. The MoCA-BLIND is scored from 0-22. Lower scores indicate less cognitive impairment. |
3 days and 1 year
|
|
Change in Oral Trails A and B Test to assess post-stroke cognition
Tidsramme: 3 days and 1 year
|
Post-stroke cognition will be assessed using the Oral Trails A and B Test to measure psychomotor speed, visual search, and attention. The test is scored based on how many seconds it takes to complete each part. Higher scores indicate a higher degree of cognitive impairment. |
3 days and 1 year
|
|
Change in Category Fluency tests to assess post-stroke cognition
Tidsramme: 3 days and 1 year
|
Categorical verbal fluency tests (CFT) are used to assess the integrity of semantic memory in individuals with brain damage. Participants are given 1 min to produce as many unique words as possible within a semantic category (category fluency) or starting with a given letter (letter fluency). The participant's score in each task is the number of unique correct words. |
3 days and 1 year
|
|
Change in Patient Health Questionnaire (PHQ-9) to assess mood
Tidsramme: 3 days and 1 year
|
Nine items asking about the frequency of specific depressive symptoms experienced. The response options are scored from 0 to 3, indicating "not at all" to "nearly every day." The total score on the PHQ-9 ranges from 0 to 27, with higher scores indicating greater severity of depressive symptoms. The scoring can also be divided into categories, with scores of 0-4 indicating minimal or no depression, 5-9 indicating mild depression, 10-14 indicating moderate depression, 15-19 indicating moderately severe depression, and 20-27 indicating severe depression. |
3 days and 1 year
|
|
Change in General Anxiety Disorder-7 (GAD-7) to assess mood
Tidsramme: 3 days and 1 year
|
General Anxiety Disorder- 7 (GAD-7) is a 7 item self report instrument that measures anxiety Items are scored on a 4-point scale, ranging from "not at all (0)" to "nearly everyday (3)". Item scores are summed with a total score ranging from 0 to 21: 0-4 Minimal anxiety; 5-9 Mild anxiety; 10-14 Moderate anxiety; 15-21 Severe anxiety. |
3 days and 1 year
|
|
Change in Lawton Instrumental Activities of Daily Living (IADL) Scale to assess adaptive functioning
Tidsramme: 3 days and 1 year
|
The IADL assesses a person's ability to perform tasks such as using a telephone, doing laundry, and handling finances. It consists of 8 items and total score is achieve by summing all items. Each item is scored 0 = less able or 1 = more able. Total score range is from 0 (low function, dependent) to 8 (high function, independent) for women and 0 through 5 for men to avoid potential gender bias. The higher the score, the greater the person's abilities. |
3 days and 1 year
|
|
Change in Katz Index of Independence in Activities of Daily Living (ADL) to assess adaptive functioning
Tidsramme: 3 days and 1 year
|
The Katz IADL assesses the patient's need for assistance in performing basic activities of daily living. Total scores range from 0-12, with higher scores indicating better levels of functioning. |
3 days and 1 year
|
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Adam de Havenon, MD, Yale University
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- Pro00065750
- 2000034922 (Annen identifikator: Yale IRB)
- 1R01NS130189-01 (U.S. NIH-stipend/kontrakt)
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