Suspected acute stroke
Conditions
Interventions
Group 1: StroConnect: Prehospital tele-neurological assessment and direct transfer to endovascular-capable stroke centre of patients who are identified as candidates for endovascular thrombectomy
Grou
Sponsors
Universitätsklinikum Hamburg-Eppendorf
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Prehospital suspicion of disabling acute stroke with - Face/ Arm/ Speech/ Time (FAST) score of at least 2 - Symptoms not known to have been present for > 24 hours
Exclusion criteria
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Access to endovascular thrombectomy, measured as the time between ambulance arrival on scene and begin of endovascular thrombectomy (groin puncture) in patients with acute ischaemic stroke due to large vessel occlusion, right-censored at 24 h. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary efficacy endpoints: # Evaluated in patients with acute stroke - Early neurological deficit (NIH stroke scale [NIHSS] score) after 24 hours - Functional outcome (modified Rankin Scale [mRS] score) after 90 days - Nondisabled (mRS score = 1) functional outcome after 90 days - Independent (mRS score = 2) functional outcome after 90 days - Health-related quality of life (PROMIS®-10) after 90 days - Depression and Anxiety (PHQ-4) after 90 days Safety endpoints: # Evaluated in all patients - Secondary transfer to a different hospital within 24 h - Neurological deficit (NIH stroke scale score) at first hospital arrival # Evaluated in patients with acute stroke - Infarct/ haematoma size - Death or dependency (mRS score 4–6) after 90 days - All-cause mortality at 90 days, time to death right-censored at 90 days # Evaluated in patients with acute ischaemic stroke - Rate of intravenous thrombolysis - Any intracranial haemorrhage within 36 hours - Symptomatic intracranial haemorrhage within 36 hours (mSITS-MOST) | — |
Countries
Germany
Contacts
Public ContactKathrin Harringa
Universitätsklinikum Hamburg-Eppendorf
Outcome results
None listed