Telestroke 2: Prehospital Triage of Patients With Suspected Stroke Using Onsite Mobile Telemedicine

NCT04578002 | Recruiting

• 1 other identifier: 2022-0126; me20Lyrer
• Study Type: observational
• Target: 94
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Stroke, Acute

Keywords

pre-hospital triage; Stroke, suspected; Telemedicine; telemedical triage; Door-to-treatment-time

Outcome Measures

Primary Outcomes (1)

• 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

Secondary Outcomes (3)

• National Institutes of Health Stroke Scale (NIHSS) at 24hours

  one point assessment at 24hours after hospital admission

• National Institutes of Health Stroke Scale (NIHSS) at 90 days

  one point assessment at 90 days after hospital admission

• modified Rankin Scale (mRS) at 90 days

  one point assessment at 90 days after hospital admission

Interventions

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.

Eligibility Criteria

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

Study Population

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.

You may qualify if:

• suspected acute stroke as per the first judgement of the paramedics on-site

You may not qualify if:

• Patients with a known history of epilepsia or non-epileptic seizures
• Patients after/while displaying an epileptic seizure
• Recent head trauma
• Patient with a reduced Glasgow Coma Scale or other condition not allowing Rapid Arterial oCclusion Evaluation (RACE) examination

Sponsors & Collaborators

• University Hospital, Basel, Switzerland: lead
• propatient Forschungsstiftung: collaborator

Study Sites (1)

Stroke Center, Neurology, University Hospital Basel

Basel, 4031, Switzerland

RECRUITING

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Philippe Lyrer, Prof. Dr. med.

  Stroke Center, Neurology, University Hospital Basel

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Philippe Lyrer, Prof. Dr. med.

CONTACT

+41 61 265 4435; philippe.lyrer@usb.ch

Sebastian Thilemann, Dr. med.

CONTACT

sebastian.thilemann@usb.ch

Study Design

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

Study Record Dates

• First Submitted: September 30, 2020
• First Posted: October 8, 2020
• Study Start: November 14, 2022
• Primary Completion: July 1, 2024
• Study Completion: August 1, 2024
• Last Updated: March 5, 2024

Record last verified: 2024-03

Locations

CH (1)