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| Name | Class |
|---|---|
| Norwegian Air Ambulance Foundation | OTHER |
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The main aim of the study is to show that patients with suspected acute stroke met by the emergency medical service and assessed using the eSTROKE model including prehospital NIHSS and a mobile application will identify a higher number of patients with stroke, than those who receive conventional prehospital care.
Primary aims:
In patients with suspected stroke
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| eSTROKE | Experimental |
| |
| Control | Active Comparator | Conventional prehospital care |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| eSTROKE model | Diagnostic Test | The eSTROKE model includes an electronic learning module, a full day course with practical teaching of National Institute of Health Stroke Scale and a mobile application which will be used for communication with in-hospital stroke physician |
| Measure | Description | Time Frame |
|---|---|---|
| Positive predictive value (PPV) of the ParaNASPP model to identify patients suffering acute stroke. | On discharge from hospital - typically within 7 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients in hospitalized within the first 4 hours after symptom onset | first 4 hours On admission |
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Inclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prehospital services - Oslo University Hospital | Oslo | 0424 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41614523 | Derived | Fagerheim Bugge H, Guterud M, Larsen K, Toft M, Hov MR, Sandset EC. Presenting symptoms and diagnostic accuracy of prehospital stroke scales for patients with suspected mild minor stroke. Eur Stroke J. 2026 Jan 1;11(1):23969873251360592. doi: 10.1093/esj/23969873251360592. | |
| 40785620 | Derived | Fagerheim Bugge H, Guterud M, Larsen K, Toft M, Hov MR, Sandset EC. Presenting symptoms and diagnostic accuracy of prehospital stroke scales for patients with suspected mild minor stroke. Eur Stroke J. 2025 Aug 11:23969873251360592. doi: 10.1177/23969873251360592. Online ahead of print. |
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| 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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ParaNASPP is a stepped wedge cluster randomized controlled intervention trial (SW-RCT).
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|
| Control | Other | Conventional prehospital care |
|
| 37596006 | Derived | Guterud M, Fagerheim Bugge H, Roislien J, Kramer-Johansen J, Toft M, Ihle-Hansen H, Bache KG, Larsen K, Braarud AC, Sandset EC, Ranhoff Hov M. Prehospital screening of acute stroke with the National Institutes of Health Stroke Scale (ParaNASPP): a stepped-wedge, cluster-randomised controlled trial. Lancet Neurol. 2023 Sep;22(9):800-811. doi: 10.1016/S1474-4422(23)00237-5. |
| 35120559 | Derived | Bugge HF, Guterud M, Bache KCG, Braarud AC, Eriksen E, Fremstad KO, Ihle-Hansen H, Ingebretsen SH, Kramer-Johansen J, Larsen K, Roislien J, Thorsen K, Toft M, Sandset EC, Hov MR. Paramedic Norwegian Acute Stroke Prehospital Project (ParaNASPP) study protocol: a stepped wedge randomised trial of stroke screening using the National Institutes of Health Stroke Scale in the ambulance. Trials. 2022 Feb 4;23(1):113. doi: 10.1186/s13063-022-06006-4. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |