Ambulance Clinical Triage For Acute Stroke Treatment (ACT-FAST) Clinical Algorithm Validation Study for Identification of Endovascular-eligible Stroke

Paramedic Validation of the Ambulance Clinical Triage For Acute Stroke Treatment (ACT-FAST) Algorithm for Pre-hospital Clinical Endovascular-eligible Stroke Identification

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12618000147280

Acronym

ACT-FAST (Ambulance Clinical Triage For Acute Stroke Treatment)

Enrollment

198

Registered

2018-01-31

Start date

2017-11-20

Completion date

2019-12-31

Last updated

2019-07-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to validate the 3-step ACT-FAST Algorithm, designed to allow paramedics to recognise stroke patients that require endovascular clot retrieval surgery. Paramedics will assess the algorithm for all suspected stroke and TIA patients prior to arrival in hospital. The study will examine whether the algorithm is accurate in determining need for endovascular clot retrieval, and how much time would have been saved had the patient been taken directly to a hospital capable of endovascular treatment.

Interventions

The 3-step ACT-FAST Algorithm (Step 1 - Arm weakness, Step 2 - Severe speech deficit [right arm weak] or severe gaze deviation/hemi-neglect [left arm weak], Step 3 - Endovascular eligibility and stroke mimic screen) will be assessed by Ambulance Victoria paramedics in all suspected stroke/TIA patients in the state of Victoria. Patients will be designated as ACT-FAST Positive (all steps fulfilled) or ACT-FAST Negative (any step not fulfilled) on Victorian Ambulance Clinical Information System.

Study design

Allocation

Non-randomised trial

Primary purpose

Diagnosis

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

All suspected stroke/TIA patients that are attended to by Ambulance Victoria paramedics in the state of Victoria. Recruitment must occur prior to hospital arrival.

Exclusion criteria

Nil

Outcome results