Optimization of early stroke detection by expanding the established FAST test

Optimization of early stroke detection by expanding the established FAST test - FAST4D-Study

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

DRKS

Registry ID

DRKS00033659

Enrollment

2800

Registered

2024-02-19

Start date

2019-01-02

Completion date

Unknown

Last updated

2025-04-07

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

Conditions

I63

Interventions

Group 1: Patients with suspected or confirmed stroke. An expanded score for the detection of strokes by the emergency services and in the emergency room will be collected and compared with the score c

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: Suspected diagnosis of stroke by the emergency services Discharge diagnosis of stroke

Exclusion criteria

Exclusion criteria: none

Design outcomes

Primary

Measure	Time frame
Number of patients correctly identified as having a stroke due to the emergency medical service by using FAST and FAST4D. All patients assigned with the patient assignment code 421, 422 or 423 and discharged as a stroke or transient ischemic attack (TIA) are correctly identified as stroke.	—

Secondary

Measure	Time frame
Will FAST4D misclassify more patients as having a stroke? What is the sensitivity and specificity of the FAST4D? What is the difference in sensitivity between FAST and FAST4D? How is FAST4D implemented in the rescue service?	—

Countries

Germany

Contacts

Public ContactPatrick Schramm

Justus-Liebig-Universität Gießen

patrick.schramm@neuro.med.uni-giessen.de0049 641 985 45301

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026