Rural CT Examination and Thrombolytic Treatment for Stroke: An Observational Study of Medical and Health Economic Effects
试验速览
- 阶段
- 不适用
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Thrombolytic treatment
研究概览
简要总结
To counteract long term sequelae from stroke, ultrarapid diagnosis and treatment, high quality multidiciplinary in-hospital care and optimal long term rehabilitation is required. In this study, the investigators are moving the essential first diagnosis and treatment out into the community close to where the patient live, thus shortening the all important time from debut of symptoms to thrombolytic treatment improving the prognosis of stroke patients.
详细描述
Stroke is an acute, potentially mutilating disease. To counteract long term sequelae three factors are essential: Ultrarapid diagnosis and treatment, high quality multidiciplinary in-hospital care and optimal long term rehabilitation. Initial diagnosis and treatment has up to now been completed within the hospital domain. This study will change that: moving the essential first diagnosis and treatment out into the community close to where the patient lives thus shortening the all important time from debut of symptoms to thrombolytic treatment. We will operate a local computer tomography (CT) service in the hands of community based non-specialized health care personnel (MD and nurse) acting under direct telemetric guidance from on call hospital specialists. Thus, the investigators will show that by combining current technological advances in real time video communication with an acutely well functioning cooperation between the community and hospital health service personnel the prognosis of stroke patients is improved.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 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
- •Patients over 18 years being investigated by CT within 24 hours for acute symptoms of stroke.
- •Fullfilling criteria for the diagnosis acute stroke as described by the Norwegian stroke registry.
- •Giving informed consent.
排除标准
- •Symptoms not due to ischaemic or haemorrhagic stroke as adjudicated at discharge.
- •Not able to cooperate to 3 months follow up.
- •Not giving informed consent
结局指标
主要结局
Thrombolytic treatment
时间窗: 3 months
The proportion of patients with ischaemic stroke receiving thrombolytic treatment in percent.
次要结局
- Ictus to needle time(3 months)
- Functional status(3 months)
- Cognitive status(3 months)
- Depression(3 months)