Point-of-Care Cluster Randomized Trial in Stroke Secondary Prevention Using Electronic Health Records

Clinical Trials Saturday, July 5th, 2014

STROKEAHA: June 5, 2014

Background and Purpose—The aim of this study was to evaluate whether the remote introduction of electronic decision support tools into family practices improves risk factor control after first stroke. This study also aimed to develop methods to implement cluster randomized trials in stroke using electronic health records.

Methods—Family practices were recruited from the UK Clinical Practice Research Datalink and allocated to intervention and control trial arms by minimization. Remotely installed, electronic decision support tools promoted intensified secondary prevention for 12 months with last measure of systolic blood pressure as the primary outcome. Outcome data from electronic health records were analyzed using marginal models. Read More

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