A Set of Health Checks and Referrals to Protect Thinking After Stroke
Tests whether a care bundle helps keep thinking skills after an ischaemic stroke.
Plain-language title generated from the registry record
Registry title: Cognitive Care Bundle for Ischaemic Stroke : A Pilot Randomised Controlled Trial
Key facts
- Where
- Kuala Lumpur, MalaysiaSee the site
Where in Malaysia
- Hospital Canselor Tuanku Muhriz UKMKuala Lumpur, MalaysiaNo longer taking part
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- National University of Malaysia
- Trial code
- NCT07610291
- Record updated
- 13 July 2026
- Original description
The goal of this clinical trial is to learn if a set of treatments, called a "cognitive care bundle," can help preserve cognitive ability in people who have had a stroke. This study will also test how feasible it is for people to follow this care bundle.Read full original descriptionShow less
Application of Cognitive Care Bundle to Ischaemic Stroke Patients and Its Effect on Post-Stroke Cognitive Outcome: A Pilot Randomised Controlled Trial
The goal of this clinical trial is to learn if a set of treatments, called a "cognitive care bundle," can help preserve cognitive ability in people who have had a stroke. This study will also test how feasible it is for people to follow this care bundle.
The main questions it aims to answer are:
1. Do people find it feasible to follow the care bundle, which includes daily home blood pressure checks (and blood sugar checks for those with diabetes), along with referrals to specialists like dietitians, eye doctors, hearing specialists, and mental health professionals? 2. Do people who receive the cognitive care bundle have better cognitive scores 3 months after their stroke, compared to those who receive standard care?
Researchers will compare two groups of stroke survivors. One group will receive the cognitive care bundle plus standard medical care. The other group will receive standard medical care alone. This comparison will help researchers see if the care bundle works better to prevent cognitive decline.
Participants in the intervention (care bundle) group will:
Check and record their blood pressure daily at home (and their blood sugar too, if they have diabetes). Talk with a doctor weekly over the phone to review their readings and adjust medications if needed
See a dietitian for a personalized eating plan
Have a hearing test by an audiologist
Have a basic vision test by the research team
Answer a short questionnaire about their mood to screen for depression
All participants (in both groups) will undergo physiotherapy and cognitive training. Participants will be followed up with blood tests, examination by a doctor and questionnaires after 3 months.
This is a pilot study to see if this approach works and is practical to do in a larger future study.
Inclusion: Age 18 years old or older; Diagnosis of ischemic stroke within 7 days; Mild cognitive impairment noted during admission of stroke (MoCA 18-25).
Exclusion: Patient with previous stroke; Patient on psychotherapy medications (benzodiazepine, antidepressant, etc); Pre-stroke neurodegenerative disease (Parkinson's, Alzheimer's, Vascular Dementia, Frontotemporal Dementia, Mixed Dementia, Lewy Body Dementia); Known psychiatric disorder; GCS <8; Modified Rankin Scale of 4 and above; Severe aphasia; Logistical issues hindering follow up; Delirium.