Finnish Telestroke Pilot 2007-2009

NCT01136993 | Unknown

• 1 other identifier: M1010NL0002
• Study Type: observational
• Target: 109
• Locations: 1 country
• Sites: 1

Brief Summary

Objective is to describe two years experience from The Finnish Telestroke piloting between Helsinki University Central Hospital (HUCH), Department of Neurology, The Hub, and five hospitals, the spokes. The participating hospitals are from Rovaniemi (Lapland), Kemi (North-West of Finland), Lappeenranta, Kuusankoski and Kotka from South-East of Finland. All the participating hospitals have a stroke unit and the thrombolysis treatment and the follow up of the patients are carried in the treating hospital. The aim of the pilot is to provide these hospitals expertise in thrombolysis treatment during off-hours through teleconsultations. The teleconsultations were begun between the participating hospitals 05/2007 after about 1 years preparation period. During the preparation period the staff from participating hospitals were trained with simulation training and lectures held by the local staff and the faculty of the Helsinki University hospital. Telestroke consultation: During two way interactive audio-visual consultation the thrombolysis decision is based on: 1) the consultant going through a check up list of indications and no contraindications to the treatment together with the treating physician and 2) Clinical assessment of NIHSS by the treating physician under guidance of the consultant through the two way video system besides 3) Evaluation of the head CT scan. The data registered is based on documents made at HUCH and the follow up data provided by the chief neurologist of the other hospitals. 109 teleconsultations have been documented over 2 years period. A unique feature of the Finnish pilot is the high percentage of consultations leading to thrombolysis treatment. Another special feature is that the consultant does the teleconsultation work besides other on call duties.

Conditions

Stroke

Keywords

Stroke; Thrombolysis; Telestroke

Outcome Measures

Primary Outcomes (1)

• The percentage of thrombolysis treatments per consultations

  2 years

Secondary Outcomes (1)

• Safety (sICH) and Efficacy (mRS at 3 months) compared with on-site thrombolysis

  2 years

Study Arms (1)

All bi-directional telestroke consultations

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

All teleconsultations on stroke thrombolysis decision between the Hub (HUCH) and the 5 Spokes during 2 years time period.

You may qualify if:

• All stroke patients inside 4.5 hours from the symptom onset considered as thrombolysis candidates by the treating physician of the spoke. In suspected basilar artery thrombosis up to 48 h from symptom onset.

You may not qualify if:

• Symptom onset \> 4.5 h

Sponsors & Collaborators

• Helsinki University Central Hospital: lead
• Kuusankoski Regional Hospital Kuusankoski Finland: collaborator
• Kymenlaakso Central Hospital Kotka Finland: collaborator
• Tampere University Hospital: collaborator
• Central Hospital of Lapland Rovaniemi Finland: collaborator
• South Carelia Central Hospital: collaborator
• Länsi-Pohja Central Hospital Kemi Finland: collaborator

Study Sites (1)

Department of neurology, HUCH

Helsinki, Finland

RECRUITING

Related Publications (1)

• Tatlisumak T, Soinila S, Kaste M. Telestroke networking offers multiple benefits beyond thrombolysis. Cerebrovasc Dis. 2009;27 Suppl 4:21-7. doi: 10.1159/000213055. Epub 2009 Jun 18.

  PMID: 19546538 BACKGROUND

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Tiina Sairanen, MD, PhD

  Department of Neurology, HUCH, Helsinki, Finland

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Tiina R Sairanen, MD, PhD

CONTACT

tiina.sairanen@hus.fi

Turgut Tatlisumak, MD, PhD

CONTACT

turgut.tatlisumak@hus.fi

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: June 3, 2010
• First Posted: June 4, 2010
• Study Start: May 1, 2007
• Primary Completion: December 1, 2010
• Study Completion: December 1, 2010
• Last Updated: June 4, 2010

Record last verified: 2010-06

Locations

FI (1)