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Improving access to and efficiency of treatment for stroke within 12 hours of onset in Atlantic Canada

Atlantic Canada Together Enhancing Acute Stroke Treatment

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN11109800
Enrollment
400
Registered
2020-03-02
Start date
2020-07-01
Completion date
Unknown
Last updated
2025-09-15

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

Conditions

Ischemic stroke Circulatory System Cerebral infarction

Interventions

The evaluation of this improvement intervention will be conducted through a Stepped Wedge Trial (SWT). In the SWT, all sites will be assigned to a group or cluster. Each cluster will go through the in

Sponsors

Dalhousie University
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Enrolled to participate in the improvement collaborative 2. Involved with acute stroke care of ischemic stroke patients

Exclusion criteria

Exclusion criteria: Does not meet inclusion criteria

Design outcomes

Primary

MeasureTime frame
Proportion of ischemic stroke patients treated with alteplase and endovascular thrombectomy using data from the Discharge Abstract Database at the end of the data collection periods.

Secondary

MeasureTime frame
Measures are obtained from chart audits at the end of the data collection periods: 1. Door to needle time (time from arrival to start of alteplase treatment) 2. Proportion of all ischemic stroke patients discharged home 3. Proportion of all treated (alteplase or EVT) ischemic stroke patients discharged home 4. Hospital length of stay for all ischemic stroke patients 5. Hospital length of stay for all treated (alteplase or EVT) ischemic stroke patients 6. Door-in-door-out times (time from hospital arrival to departure) for all patients transferred for EVT 7. Door to groin puncture time (time from arrival to groin puncture) for all EVT treated patients 8. First medical contact to needle time (time from 911 call to start of alteplase treatment) 9. First medical contact to groin puncture (time from 911 call to start of EVT procedure)

Countries

Canada

Outcome results

None listed

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