UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056696
Receipt number R000064809
Scientific Title Prognostic Prediction for Stroke Patients Using Machine Learning
Date of disclosure of the study information 2025/01/13
Last modified on 2026/07/18 04:54:25

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Basic information

Public title

Validation of a Prognostic Model for Discharge Functional Independence Measure in Stroke Patients Considering the Impact of Aging

Acronym

Validation of a Prognostic Model for Discharge Functional Independence Measure in Stroke Patients Considering the Impact of Aging

Scientific Title

Prognostic Prediction for Stroke Patients Using Machine Learning

Scientific Title:Acronym

Prognostic Prediction for Stroke Patients Using Machine Learning

Region

Japan


Condition

Condition

Ischemic Stroke and Hemorrhagic Stroke

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study was to develop and validate a prognostic model to predict discharge Functional Independence Measure , focusing on variables that are observable and compatible with the aging stroke population in Japan.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Prediction Accuracy of Functional Independence Measure (FIM) at Discharge

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients diagnosed with ischemic or hemorrhagic stroke who were admitted to a convalescent rehabilitation ward for 30 days or more between January 2018 and December 2020.

Key exclusion criteria

Those who experienced recurrence or worsening of their condition during hospitalization
Those who suffered a stroke (cerebral infarction or cerebral hemorrhage) while being hospitalized in another hospital
Those with a history of neurological diseases other than stroke
Those with a history of mental illness or developmental disorders
Those who developed epilepsy or hydrocephalus at the time of stroke onset
Those who experienced a stroke due to Moyamoya disease
Those who required restrictions on rehabilitation in the convalescent rehabilitation ward
Those with a history of blindness
Those who died during hospitalization
Those with missing data

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Ryo
Middle name
Last name Matsuda

Organization

Hokkaido University of Science

Division name

Department of Physical Therapy Faculty of Health Sciences

Zip code

006-8585

Address

15-4-1, Maeda 7-jo, Teine-ku, Sapporo-shi, Hokkaido, Japan

TEL

+81-11-688-7197

Email

matsuda-r@hus.ac.jp


Public contact

Name of contact person

1st name Ryo
Middle name
Last name Matsuda

Organization

Hokkaido University of Science

Division name

Department of Physical Therapy Faculty of Health Sciences

Zip code

006-8585

Address

15-4-1, Maeda 7-jo, Teine-ku, Sapporo-shi, Hokkaido, Japan

TEL

+81-11-688-7197

Homepage URL


Email

matsuda-r@hus.ac.jp


Sponsor or person

Institute

Hokkaido University of Science

Institute

Department

Personal name

Ryo Matsuda


Funding Source

Organization

Self-funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Shinsapporo Neurosurgical Hospital

Name of secondary funder(s)

None


IRB Contact (For public release)

Organization

Shinsapporo Neurosurgical Hospital Ethics Committee

Address

6-2-10, Atsubetsu Chuo 1-jo, Atsubetsu-ku, Sapporo-shi, Hokkaido, Japan

Tel

+81-11-891-2500

Email

regalw4910@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道科学大学(北海道)、新さっぽろ脳神経外科病院(北海道)


Other administrative information

Date of disclosure of the study information

2025 Year 01 Month 13 Day


Related information

URL releasing protocol

https://www.jstage.jst.go.jp/article/rigaku/advpub/0/advpub_26-00008/_article/-char/ja

Publication of results

Unpublished


Result

URL related to results and publications

https://www.jstage.jst.go.jp/article/rigaku/advpub/0/advpub_26-00008/_article/-char/ja

Number of participants that the trial has enrolled

304

Results

For the training dataset, the prediction accuracy for the total FIM motor score was coefficient of determination: 0.86. For the test dataset, the values were coefficient of determination: 0.85. Comparable accuracy was achieved for both the training and test datasets.

Results date posted

2026 Year 07 Month 18 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The study subjects were 422 patients with cerebral infarction or cerebral hemorrhage who had been admitted to the convalescent rehabilitation ward of Shin-Sapporo Neurosurgical Hospital for at least one month between January 2018 and March 2020. As the aim of this study was to verify accuracy, the following exclusion criteria were applied to eliminate the influence of atypical cases: history of neurological disorders (e.g., Parkinson's disease, multiple sclerosis); history of psychiatric disorders (e.g., schizophrenia, bipolar disorder); history or complications involving brain tumors; clinical deterioration during hospitalization (e.g., recurrence, pneumonia, worsening heart failure); blindness; onset of stroke during hospitalization at another facility; and presence of missing data. After applying these exclusion criteria, 304 patients remained for analysis.

Participant flow

This is a retrospective study using existing clinical data from patients with cerebral infarction or cerebral hemorrhage who were admitted to the convalescent rehabilitation ward at Shin-Sapporo Neurosurgical Hospital for one month or longer between January 2018 and March 2020. Data were obtained from electronic medical records.

Adverse events

none

Outcome measures

Baseline data collected included gender, age, Body Mass Index at the time of ward admission, pre-admission care-need status, and the duration from onset to ward admission. Regarding the Functional Independence Measure, data were obtained for FIM sub-items at admission, as well as the FIM motor subscale total score, FIM cognitive subscale total score, and total FIM score. The FIM motor subscale total score at discharge was used as the outcome variable.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 03 Month 07 Day

Date of IRB

2022 Year 03 Month 07 Day

Anticipated trial start date

2022 Year 03 Month 07 Day

Last follow-up date

2024 Year 03 Month 10 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We collected data at admission and discharge from the medical records of patients diagnosed with cerebral infarction or cerebral hemorrhage who were admitted to a convalescent rehabilitation ward for 30 days or more between January 2018 and December 2020.


Management information

Registered date

2025 Year 01 Month 13 Day

Last modified on

2026 Year 07 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064809