Decision Support and Self-Management System for Stroke Survivors

OSA Pilot summary

For the STARR system pilot study at Cruces University Hospital (CUH) 43 patients were recruited from the outpatient monographic consultation of neurological patients at the Rehabilitation and Physical Medicine Service. The 43 patients were divided into two groups, 18 of them taking part in the intervention group and 18 in the control group. During the 6 months of the study, the intervention group worked with the developed system, VERA, a support decision-making and self-management for stroke survivors. This tool helps to the empowerment of the patient in the disease, promotes a healthy lifestyle, improves the adherence to the non-pharmacological treatment and informs about the daily activities thanks to some commercial devices that collect information from their vital signs. Thereby, some physiological changes can be detected and, thus, risk factors can be controlled in advance in order to avoid a new case of stroke. In fact, the alarm system incorporated in VERA detected 4 red alarms (high severity) and 4 yellow alarms (medium severity) within the intervention group, mainly referred to alterations in blood pressure as well as arrhythmia. Thus, the use of VERA device allowed maintaining all these cases under medical control. Meanwhile, in the control group one patient passed away in the context of a stroke, and other two presented health complications associated with a stroke episode. At the end of the study, both groups completed a satisfaction questionnaire. From the results, 94.4 % of the patients would recommend the STARR system to other patients who have suffered a stroke episode. Furthermore, 83.3 % were very satisfied with the participation in the study as well as using the STARR system while 16.7 % were satisfied. Moreover, the 94.4 % of the patients would take part again in the randomized clinical trial.