Telestroke 2: Prehospital Triage of Patients With Suspected Stroke Using Onsite Mobile Telemedicine- Efficacy Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke, Acute
- Sponsor
- University Hospital, Basel, Switzerland
- Enrollment
- 94
- Locations
- 1
- Primary Endpoint
- Door-to-treatment-time (minutes)
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This study is to investigate clinical efficacy of the pre-hospital triage of patients with suspected acute stroke by using advanced telecommunication tools with digital audio and video real-time streaming.
Detailed Description
One of today's main challenges in stroke medicine is to further decrease event-to-treatment-time. On-site, pre-hospital, clinical assessment of patients with suspected acute stroke can optimize further diagnostic and treatment pathways after patient arrival at the dedicated stroke center. A telemedical approach (interactive video and audio streaming) allows time efficient pre-hospital triage, via patient evaluation by simple, pre-defined assessment measures and a standardized questionnaire. This study is to investigate clinical efficacy of the pre-hospital triage of patients with suspected acute stroke by using advanced telecommunication tools with digital audio and video real-time streaming.
Investigators
Eligibility Criteria
Inclusion Criteria
- •suspected acute stroke as per the first judgement of the paramedics on-site
Exclusion Criteria
- •Patients with a known history of epilepsia or non-epileptic seizures
- •Patients after/while displaying an epileptic seizure
- •Recent head trauma
- •Patient with a reduced Glasgow Coma Scale or other condition not allowing Rapid Arterial oCclusion Evaluation (RACE) examination
Outcomes
Primary Outcomes
Door-to-treatment-time (minutes)
Time Frame: one point assessment at baseline
Door-to-treatment-time (minutes), assessed as door-to-needle-time and door-to-groin-puncture-time.
Secondary Outcomes
- National Institutes of Health Stroke Scale (NIHSS) at 24hours(one point assessment at 24hours after hospital admission)
- modified Rankin Scale (mRS) at 90 days(one point assessment at 90 days after hospital admission)
- National Institutes of Health Stroke Scale (NIHSS) at 90 days(one point assessment at 90 days after hospital admission)