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| Name | Class |
|---|---|
| propatient Forschungsstiftung | UNKNOWN |
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This study is to investigate clinical efficacy of the pre-hospital triage of patients with suspected acute stroke by using advanced telecommunication tools with digital audio and video real-time streaming.
One of today's main challenges in stroke medicine is to further decrease event-to-treatment-time. On-site, pre-hospital, clinical assessment of patients with suspected acute stroke can optimize further diagnostic and treatment pathways after patient arrival at the dedicated stroke center. A telemedical approach (interactive video and audio streaming) allows time efficient pre-hospital triage, via patient evaluation by simple, pre-defined assessment measures and a standardized questionnaire. This study is to investigate clinical efficacy of the pre-hospital triage of patients with suspected acute stroke by using advanced telecommunication tools with digital audio and video real-time streaming.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| prehospital telemedical triage | Other | Prehospital Triage of Patients with Suspected Stroke Using Onsite Mobile Telemedicine approach (interactive video and audio streaming). In patients with suspected stroke, a prehospital patient evaluation by end-to-end encrypted real-time audio- and video streaming from the pre-hospital setting to an in-hospital stroke physician, located at the University hospital of Basel, is requested and initiated (telestroke-path). The process is supervised and evaluated by an in-hospital stroke physician in real-time. Patients considered having an acute stroke will be directly transferred to cerebral imaging via CT. All other patients will follow conventional stroke path. |
| Measure | Description | Time Frame |
|---|---|---|
| Door-to-treatment-time (minutes) | Door-to-treatment-time (minutes), assessed as door-to-needle-time and door-to-groin-puncture-time. | one point assessment at baseline |
| Measure | Description | Time Frame |
|---|---|---|
| National Institutes of Health Stroke Scale (NIHSS) at 24hours | Score to quantify the impairment caused by a stroke. The NIHSS is composed of 11 items, each of which scores a specific ability between a 0 and 4. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment. The individual scores from each item are summed in order to calculate a patient's total NIHSS score. The maximum possible score is 42, with the minimum score being a 0. |
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Inclusion Criteria:
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Any patient aged ≥ 18 years with suspected acute stroke as per the first judgement of the paramedics on-site at the University hospital of Basel.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Philippe Lyrer, Prof. Dr. med. | Contact | +41 61 265 4435 | philippe.lyrer@usb.ch | |
| Sebastian Thilemann, Dr. med. | Contact | sebastian.thilemann@usb.ch |
| Name | Affiliation | Role |
|---|---|---|
| Philippe Lyrer, Prof. Dr. med. | Stroke Center, Neurology, University Hospital Basel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stroke Center, Neurology, University Hospital Basel | Recruiting | Basel | 4031 | Switzerland |
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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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| one point assessment at 24hours after hospital admission |
| National Institutes of Health Stroke Scale (NIHSS) at 90 days | Score to quantify the impairment caused by a stroke. The NIHSS is composed of 11 items, each of which scores a specific ability between a 0 and 4. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment. The individual scores from each item are summed in order to calculate a patient's total NIHSS score. The maximum possible score is 42, with the minimum score being a 0. | one point assessment at 90 days after hospital admission |
| modified Rankin Scale (mRS) at 90 days | The modified Rankin Scale (mRS) is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke. The scale runs from 0-6, running from perfect health without symptoms (= 0) to death (= 6). | one point assessment at 90 days after hospital admission |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |