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Ambulance transport direct to the stroke unit instead of transport to an emergency department

Direct admission to the stroke unit by ambulance services: a randomized controlled trial comparing two prehospital emergency care pathways and time to clinical examinations, lengths of stay and activities of daily living

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN12104897
Enrollment
210
Registered
2022-04-19
Start date
2016-01-15
Completion date
Unknown
Last updated
2022-08-29

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

Conditions

Stroke Circulatory System Stroke, not specified as haemorrhage or infarction

Interventions

Patients assessed with a suspicion of stroke and triaged to level yellow or green (low acuity) according to the Rapid Emergency Triage and Treatment System are randomized using a closed, opaque envelo

Sponsors

Hallands sjukhus Halmstad
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients with a suspected stroke >18 years old and acute onset of a neurological deficit, such as a sudden problem speaking or sudden weakness in the face, arm, or leg 2. Low priority (yellow or green) according to the Rapid Emergency Triage and Treatment System (RETTS) 3. Monday through Friday between 08.00 h and 16.00 h

Exclusion criteria

Exclusion criteria: 1. Patients who met the criteria for stroke alerts and candidates for i.v. thrombolysis, symptoms for 25 mmol/l 3. Wound damage that needs to be saturated 4. Seizures associated with the disease 5. Diarrhoea or vomiting in the last 48 h

Design outcomes

Primary

MeasureTime frame
Independent in activities of daily living (ADL), mobility, going to the toilet and dressing was measured using patient reported outcome measurements before and three months after the stroke and collected from the Swedish Stroke Registry.

Secondary

MeasureTime frame
1. Time in minutes was measured from arrival to admission to stroke unit 2. Time in minutes was measured from arrival to neurologist assessment at stroke unit 3. Time in minutes was measured from arrival to start of computed tomography 4. The number of patients assessed by physical/occupational therapist within 24 h of admission 5. Length of hospital stay was measured in days from arrival to discharge from hospital

Countries

Sweden

Outcome results

None listed

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