G45 I60 I61 I62 I63 I64
Conditions
Interventions
Group 1: Medical care by neurologist onsite (routine care)
Group 2: Medical care by neurologist via telemedicine (intervention)
Sponsors
Charité Campus Benjamin Franklin
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients =18 years of age who are undergoing inpatient treatment due to an acute stroke (time from symptom onset to admission <72 h) (ischemic or hemorrhagic stroke, suspected ischemic or hemorrhagic stroke, and suspected transient ischemic attack) and who have already undergone an initial neurological consultation during admission. The initial consultation may have been an on-site consultation or a telemedical consultation. A further inclusion criterion is the consent to study participation by the patient himself or his legal guardian.
Exclusion criteria
Exclusion criteria: Patients who themselves or their legal guardians do not consent to study participation are not included. Time from symptom onset to hospital admission =72h.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is the overall correct medical assessment of tele-consultations or on-site consultations in 6 predefined quality indicators: - Etiologic classification - Neurological findings - Risk assessment/detection of complications - Recommended secondary prevention measures - Recommended diagnostic measures - Recommended allied health professional therapies (physiotherapy/language and speech therapy/occupational therapy) and rehabilitative measures The ratings for each indicator result in binary choices (correct/wrong). Only for 6/6 quality indicators rated as correct, the medical assessment in its entirety is considered correct (=primary endpoint). The assessment regarding correctness of the ratings is performed by blinded reviewers. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are correct medical assessment in the respective 6 quality indicators considered individually. The ratings in the respective quality indicators are considered individually and the corresponding results of the tele-consultations are compared with the on-site consultations. Other secondary outcomes are completeness and accuracy of the medical assessment, which are assessed by the raters using an ordinal scale. | — |
Countries
Germany
Contacts
Public ContactClaudia;Annegret Gorski;Hille
Charité Universitätsmedizin Berlin;Charité Universitätsmedizin Berlin
Outcome results
None listed