[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100641032":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":29,"locations":38,"responsibleParty":101,"collaborators":104,"id":112,"slug":113,"hasResults":114,"nctId":115,"briefTitle":116,"officialTitle":117,"acronym":118,"eligibilityCriteria":119,"healthyVolunteers":114,"sex":120,"minAge":121,"maxAge":12,"enrollmentInfo":122,"targetDuration":12,"studyType":125,"phases":126,"briefSummary":128,"conditions":129,"keywords":139,"overallStatus":88,"whyStopped":12,"lastUpdateSubmitDate":149,"lastUpdatePostDateStruct":150,"startDateStruct":153,"completionDateStruct":155,"leadSponsor":157,"locationsCount":158},{"fullName":5,"class":6},"University of Malaga","OTHER",[8,13],{"label":9,"type":10,"description":11,"interventionNames":12},"No Intervention: usual care (control phase)","NO_INTERVENTION","Patients receive standard clinical care according to the existing protocols of each Internal Medicine Unit before the hospital crosses over to the intervention phase. In this phase, dysphagia screening is not standardized and relies on routine clinical assessment and medical history records.",null,{"label":14,"type":15,"description":16,"interventionNames":17},"Experimental: BEST CARE ICTUS_HC (intervention phase)","EXPERIMENTAL","1\\) 3-hour training for staff on stroke care, dysphagia, and the \"FLECHA\" project. 2) Mandatory use of Modified Swallowing Assessment (MSA). 3) Compensatory care strategies (pictograms, spatial reorganization for hemineglect). 4) QR code-guided specific care plans. During the implementation, in addition to the educational intervention for nurses, several complementary strategies will be employed: local leadership, analysis of barriers and facilitators, audit and feedback, provision of resources and materials, evaluation of intervention fidelity, and outreach facilitation.",[18],"Other: BEST CARE ICTUS_HC BUNDLE",[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":12},"BEST CARE ICTUS_HC BUNDLE","Multicomponent nursing intervention including: 1) Specialized staff training on acute stroke care. 2) Systematic dysphagia screening using the Modified Swallowing Assessment (MSA). 3) Implementation of the \"FLECHA Project\", a compensatory care model that harmonizes all care delivery based on stroke laterality aimed at developing early functional rehabilitation for unilateral neglect, hemiplegia, hemiparesis, and anosognosia (strategies include use of bedside pictograms, spatial reorganization, and QR-guided specific care plans). 4) Protocols for physiological stability monitoring and early device removal.",[14],[25],{"name":26,"affiliation":27,"role":28},"JOSE MIGUEL MORALES-ASENCIO, PhD","Universidad de Málaga","PRINCIPAL_INVESTIGATOR",[30,34],{"name":26,"role":31,"phone":32,"phoneExt":12,"email":33},"CONTACT","+34951952833","jmmasen@uma.es",{"name":35,"role":31,"phone":36,"phoneExt":12,"email":37},"Laura Gutierrez Rodriguez, PhD","+34951952880","laura_gr@uma.es",[39,58,72,86],{"facility":40,"status":41,"city":42,"state":43,"zip":44,"country":45,"countryCode":46,"cosmosGeoPoint":47,"geoPoint":52,"contacts":53},"Hospital de Antequera","NOT_YET_RECRUITING","Antequera","Málaga","29200","Spain","ES",{"type":48,"coordinates":49},"Point",[50,51],-4.56123,37.01938,{"lat":51,"lon":50},[54],{"name":55,"role":31,"phone":56,"phoneExt":12,"email":57},"María Socorro Zurita, Nurse","951 06 16 00","socorro.zurita.sspa@juntadeandalucia.es",{"facility":59,"status":41,"city":60,"state":43,"zip":61,"country":45,"countryCode":46,"cosmosGeoPoint":62,"geoPoint":66,"contacts":67},"Hospital Universitario Costa del Sol","Marbella","29603",{"type":48,"coordinates":63},[64,65],-4.88583,36.51543,{"lat":65,"lon":64},[68],{"name":69,"role":31,"phone":70,"phoneExt":12,"email":71},"Leticia García, Nurse","951 97 66 69","marialeticia.garcia.d.sspa@juntadeandalucia.es",{"facility":73,"status":41,"city":74,"state":43,"zip":75,"country":45,"countryCode":46,"cosmosGeoPoint":76,"geoPoint":80,"contacts":81},"Hospital de la Serranía de Ronda","Ronda","29400",{"type":48,"coordinates":77},[78,79],-5.16709,36.74231,{"lat":79,"lon":78},[82],{"name":83,"role":31,"phone":84,"phoneExt":12,"email":85},"Ángeles Gordillo, Nurse","951 06 50 00","angeles.gordillo.sspa@juntadeandalucia.es",{"facility":87,"status":88,"city":43,"state":89,"zip":90,"country":45,"countryCode":46,"cosmosGeoPoint":91,"geoPoint":95,"contacts":96},"Hospital Comarcal de la Axarquia","RECRUITING","Velez-Maálaga","29700",{"type":48,"coordinates":92},[93,94],-4.42034,36.72016,{"lat":94,"lon":93},[97],{"name":98,"role":31,"phone":99,"phoneExt":12,"email":100},"Carmen Lupiañez Bueno, Nurse","+34 951 06 70 00","mc.lupianez.sspa@juntadeandalucia.es",{"type":28,"investigatorFullName":102,"investigatorTitle":103,"investigatorAffiliation":5,"oldNameTitle":12,"oldOrganization":12},"JOSE MIGUEL MORALES ASENCIO","Professor \u002F Principal Investigator",[105,108,110],{"name":106,"class":107},"Instituto de Salud Carlos III","OTHER_GOV",{"name":109,"class":6},"Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud",{"name":111,"class":107},"Andalusian Health Service","100641032","effectiveness-of-best-care-practices-in-acute-stroke-in-conventional-hospitalization-best-care-ictushc-100641032",false,"NCT07627399","Effectiveness of Best Care Practices in Acute Stroke in Conventional Hospitalization (BEST CARE ICTUS_HC)","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.","BESTCAREICTUS","Inclusion Criteria:\n\n* Patients aged 18 years or older.\n* Clinical diagnosis of acute ischemic or hemorrhagic stroke.\n* Admission to conventional hospitalization units (Internal Medicine) in regional hospitals without specialized Stroke Units.\n\nExclusion Criteria:\n\n* Patients admitted for a cause other than stroke who develop a stroke during their hospital stay (in-hospital stroke).\n* Patients subjected to invasive neurological procedures.\n* Patients undergoing invasive procedures, such as thrombectomy, who require transfer to a referral hospital and remain there for more than 48 hours.\n* Patients with deterioration of the level of consciousness that prevents the performance of dysphagia testing.\n* 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","ALL","18 Years",{"count":123,"type":124},700,"ESTIMATED","INTERVENTIONAL",[127],"NA","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:\n\n1. Does the implementation of the program increase the early and correct detection of swallowing difficulties (dysphagia) to prevent pneumonia?\n2. Does the program reduce the severity of attention problems (hemineglect) and improve the patients' quality of life up to 6 months after discharge?\n\nResearchers 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.\n\nParticipants will:\n\n* Receive either the usual hospital care for stroke or the BEST CARE ICTUS\\_HC nursing program, depending on the study phase of the hospital.\n* Be screened for swallowing problems using a standardized test before receiving any food or drink.\n* Be cared for in an adapted environment (FLECHA Project) that uses visual signs and room organization to help with orientation and safety.\n* Have their temperature, blood sugar, and blood pressure monitored under a strict specialized protocol.\n* Be contacted by phone 30 days and 6 months after leaving the hospital to answer questions about their health and quality of life.",[130,131,132,133,134,135,136,137,138],"Stroke","Acute Stroke","Ischemic Stroke","Hemorrhagic Stroke","Cerebrovascular Disorders","Deglutition Disorders","Perceptual Disorders","Unilateral Neglect","Pneumonia, Aspiration",[131,140,141,137,142,143,144,145,146,147,148],"Nursing Care","Dysphagia Screening","Multicomponent Intervention","Care Bundle","Stepped-Wedge Design","Deglutition","Quality of life","Hyperglycemia","Fever","2026-05-29",{"date":151,"type":152},"2026-06-04","ACTUAL",{"date":154,"type":152},"2026-05-12",{"date":156,"type":124},"2028-12",{"name":5,"class":6},4]