A Nurse-Led Care Program for Adults Hospitalized With Acute Stroke
Tests a nurse-led care program in adults hospitalized with acute stroke.
Plain-language title generated from the registry record
Registry title: Effectiveness of Best Care Practices in Acute Stroke in Conventional Hospitalization (BEST CARE ICTUS_HC)
Key facts
- Where
- Antequera, Málaga, Marbella, and Ronda, SpainSee the 4 sites
Where in Spain
- Hospital de AntequeraAntequera, SpainNot yet recruiting
- Hospital Comarcal de la AxarquiaMálaga, SpainTaking people
- Hospital Universitario Costa del SolMarbella, SpainNot yet recruiting
- Hospital de la Serranía de RondaRonda, SpainNot yet recruiting
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
- University of Malaga
- Trial code
- NCT07627399
- Record updated
- 4 June 2026
- Original description
The goal of this clinical trial is to evaluate whether a multicomponent nurse-led intervention (BEST CARE ICTUS_HC) can reduce stroke-related complications and improve recovery in adults (18 years and older) hospitalized with an acute ischemic or hemorrhagic stroke in hospitals without specialized Stroke Units. The main questions it aims to answer are:Read full original descriptionShow less
Effectiveness of Implementing Best Care Practices in the Management of Patients With Acute Stroke in Conventional Hospitalization: A Cluster-Randomized, Open, Stepped-Wedge Controlled Trial.
The goal of this clinical trial is to evaluate whether a multicomponent nurse-led intervention (BEST CARE ICTUS_HC) can reduce stroke-related complications and improve recovery in adults (18 years and older) hospitalized with an acute ischemic or hemorrhagic stroke in hospitals without specialized Stroke Units. The main questions it aims to answer are:
1. Does the implementation of the program increase the early and correct detection of swallowing difficulties (dysphagia) to prevent pneumonia? 2. Does the program reduce the severity of attention problems (hemineglect) and improve the patients' quality of life up to 6 months after discharge?
Researchers will compare patients receiving the BEST CARE ICTUS_HC program to patients receiving usual hospital care to see if this new approach improves patient safety and long-term functional recovery.
Participants will:
* Receive either the usual hospital care for stroke or the BEST CARE ICTUS_HC nursing program, depending on the study phase of the hospital. * Be screened for swallowing problems using a standardized test before receiving any food or drink. * Be cared for in an adapted environment (FLECHA Project) that uses visual signs and room organization to help with orientation and safety. * Have their temperature, blood sugar, and blood pressure monitored under a strict specialized protocol. * Be contacted by phone 30 days and 6 months after leaving the hospital to answer questions about their health and quality of life.
Inclusion: Patients aged 18 years or older; Clinical diagnosis of acute ischemic or hemorrhagic stroke; Admission to conventional hospitalization units (Internal Medicine) in regional hospitals without specialized Stroke Units.
Exclusion: Patients admitted for a cause other than stroke who develop a stroke during their hospital stay (in-hospital stroke); Patients that have been taken care of by Nurses and Nursing Assistants with >4 weeks of work experience in Stroke Units in the last 12 months; Patients subjected to invasive neurological procedures; Patients undergoing invasive procedures, such as thrombectomy, who require transfer to a referral hospital and remain there for more than 48 hours; Patients with deterioration of the level of consciousness that prevents the performance of dysphagia testing.