Flying Intervention Team for Endovascular Treatment of Acute Ischemic Stroke in Rural Areas
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 477
- 试验地点
- 1
- 主要终点
- Time from decision for endovascular treatment to groin puncture
研究概览
简要总结
The aim of this study is to compare time delay and safety parameters of stroke patients initially admitted to a rural primary stroke center (PSC) who receive endovascular treatment (EVT) by a Flying Intervention Team with patients who receive EVT after secondary transfer to a comprehensive stroke center (CSC).
详细描述
A novel health care concept was implemented in the telemedical stroke network TEMPiS (Telemedical Project for integrative Stroke Care) to reduce time delays to EVT in stroke patients with large vessel occlusion: After telemedicine-assisted identification of EVT candidates in a PSC, a Flying Intervention Team (neuroradiologist and angiography assistant) is flown from a CSC via helicopter to the PSC to perform EVT in the local angiography suite. Flying Intervention Team service runs from 8 a.m. to 10 p.m. Patients remain at local stroke unit for further treatment.
Analysis will include time delay to EVT, recanalization, symptomatic intracerebral hemorrhage, periprocedural complications, in-hospital complications, and mortality.
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
- 未提供
排除标准
- 未提供
结局指标
主要结局
Time from decision for endovascular treatment to groin puncture
时间窗: day 1
Time from telemedicine-assisted decision for endovascular treatment to initiation of endovascular treatment by groin puncture
次要结局
- Periprocedural complications(day 1)
- Symptomatic intracerebral hemorrhage(7 days)
- In-hospital death or palliative care(7 days)
- In-hospital complications(7 days)
- Time from symptom onset to recanalization(day 1)
- Other procedural times of hyperacute care(day 1)
- Recanalization(day 1)