Pattern and Impact of Prehospital Stroke Care on Patient Outcome: A Population-Based Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 125
- 主要终点
- Stroke symptom awareness
研究概览
简要总结
This study evaluates how prehospital care factors, including stroke awareness, emergency response, transport, and referral processes, impact patient outcomes in acute stroke cases.
详细描述
The research is a population-based observational cohort study conducted at Assiut University Hospital's Neuropsychiatry Department. It investigates patterns of prehospital stroke care with a focus on patient and caregiver awareness of stroke symptoms, the type of first medical contact, transport modes, referral pathways, and emergency medical service response. The study aims to understand how these prehospital factors influence stroke outcomes, including timely access to treatment, functional recovery, and mortality rates. Standardized tools, structured questionnaires, EMS records, and hospital medical data will be used to collect comprehensive information.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults ≥18 years of age
- •Confirmed diagnosis of acute stroke (ischemic/hemorrhagic) verified by CT or MRI
- •Residents of the study's defined geographical area
- •Patients who experienced stroke and sought prehospital care pathways (EMS or direct hospital presentation)
- •Informed consent from the patient or legally authorized representative
排除标准
- •Patients with transient ischemic attack (TIA) or stroke mimics without confirmed acute stroke diagnosis
- •Missing or incomplete data on prehospital care
- •Patients unable or unwilling to provide consent without a representative available
- •Non-residents or visitors outside the designated geographical area
结局指标
主要结局
Stroke symptom awareness
时间窗: Baseline
Assessment of general knowledge and recognition of stroke symptoms and prehospital care pathways will be measured using the Stroke Knowledge Test (SKT), a validated questionnaire. The SKT consists of 20 multiple-choice questions evaluating recognition of stroke symptoms and knowledge of emergency response. Scores range from 0 to 20, with higher scores indicating greater awareness and better knowledge.
次要结局
未报告次要终点
研究者
Refat Hamed Khalaf Ahmed
resident at the Neuropsychiatry department
Assiut University