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| Name | Class |
|---|---|
| University of Southern California | OTHER |
| Mayo Clinic | OTHER |
| Swedish Medical Center | OTHER |
| University of Utah |
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This study will promote the development and economic sustainability of telemedicine for acute stroke treatment.
The goal of this study is to promote the development and economic sustainability of telemedicine for acute stroke treatment. The study's objectives are 1) to determine if the use of telemedicine consultations for stroke patients will improve their care per guidelines compared to stroke patients treated by control hospitals; and 2) to determine if the care per guidelines provided via telemedicine consultations for stroke patients will be similar or equivalent to care per guidelines provided to stroke patients treated at hub hospitals.
The Advancing Telestroke Care study will establish treatment and outcomes in three distinct study cohorts: hub telemedicine hospital, spoke telemedicine hospital and non-telemedicine control hospital.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hub Hospital | Hub Hospital Cohort: Joint Commission-certified Primary Stroke Centers where patients are treated using hospital-based stroke teams and pathways; these hospital personnel also provide telemedicine consultation to satellite hospitals. | ||
| Spoke Hospital | Spoke Hospital Cohort: non-stroke center certified sites, where patients are treated at an in-network telestroke community hospital using telemedicine technology with consultation provided by physicians from a hub hospital. | ||
| Control Hospital | Control Hospital Cohort: non-stroke center certified sites with no telemedicine services. |
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| Measure | Description | Time Frame |
|---|---|---|
| IV tPA administration | Correctness of decisions regarding IV tPA administration in acute stroke | Day 7/Discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Multiple Study Assessments | There are 23 assessments, after stroke, for outcome measures. They include: hospital transfers, treatment with reperfusions therapies, treatment with antiplatelets, hypertension treatment, hyperglycemia treatment, hyperlipidemia treatment, symptomatic ICH, mortality, imaging/diagnostic data, stroke and rehab scale scores, number of hospitalizations since last assessment, hospital LOS, discharge location, number of physician visits, and work status. |
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Inclusion Criteria:
Exclusion Criteria:
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600 subjects meeting inclusion and exclusion criteria will be enrolled consecutively over approximately 12 months and followed for 90 days post-stroke.
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| Name | Affiliation | Role |
|---|---|---|
| Gene Sung, MD, MPH | University of Southern California, Los Angeles | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Southern California | Los Angeles | California | 90033 | United States |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Apr 21, 2014 | |
| Unrelease | Yes | |
| Release | Apr 24, 2014 | |
| Reset | May 27, 2014 | |
| Release | Nov 18, 2014 | |
| Reset | Nov 25, 2014 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Apr 21, 2014 | Yes | |||
| Apr 24, 2014 |
| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| OTHER |
| California Pacific Medical Center | OTHER |
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| Day 7 and/or Day 30 and/or Day 90 and/or at discharge |
| May 27, 2014 |
| Nov 18, 2014 | Nov 25, 2014 |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |