NCT05963685
Recruiting
Not Applicable
Impact of a Standardized Alarming System on Treatment Times and Workflow in Stroke Patients With Interhospital Transfer for Thrombectomy
Munich Municipal Hospital1 site in 1 country280 target enrollmentSeptember 16, 2022
ConditionsAcute Ischemic Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Ischemic Stroke
- Sponsor
- Munich Municipal Hospital
- Enrollment
- 280
- Locations
- 1
- Primary Endpoint
- decision-to-groin time
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of this study is to evaluate the impact of a standardized alarming system on treatment times and workflow in stroke patients with interhospital transfer for mechanical thrombectomy (MT). The main questions it aims to answer are:
- Is the implementation of a standardized alarming system associated with shorter transfer and treatment times?
- Is the implementation of a standardized alarming system associated with a better adherence on existing standard operating procedures for interhospital transfer? We will analyze data from our existing thrombectomy registry comparing time periods before and after introduction of the MT alarming system.
Investigators
Eligibility Criteria
Inclusion Criteria
- •age \>= 18 years
- •diagnosis of acute ischemic stroke
- •indication for mechanical thrombectomy
- •admission to one of 7 participating primary stroke centers within in the catchment area of the referral center
Exclusion Criteria
- •unclear indication for mechanical thrombectomy (patients admitted for perfusion imaging before decision for or against a MT)
Outcomes
Primary Outcomes
decision-to-groin time
Time Frame: 24 hours
time from decision for MT (while patient still in the primary stroke center) to groin puncture (start of mechanical thrombectomy procedure in the primary thrombectomy center)
Secondary Outcomes
- decision-to-transfer request time(24 hours)
- Successful outcome of MT (mTICI > 2b)(24 hours)
- decision-to-departure time(24 hours)
- rate of refusal of transfer requests due to lack of capacity(24 hours)
- Adverse events within 7 days(7 days)
- decision-to-arrival time(24 hours)
- groin-to-recanalization time(24 hours)
- arrival-to-groin time(24 hours)
- Periprocedural complications(24 hours)
Study Sites (1)
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