Suspected stroke Circulatory System
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Study trained ambulance practitioners will be asked to undertake the LVOne test and communicate clinical information to hospital on patients that fulfil the following criteria: 1. Being attended in the community after a 999 call 2. Being attended in a geographical region where ambulance conveyance is to a hospital participating in the study 3. Aged 18 years or over 4. Alert, Responds to Voice or Responds to Pain on the AVPU scale 5. New acute stroke suspected 6. FAST clinical symptom score of = 1 7. Stroke symptoms begun within the last 6 hours (i.e. onset time is known and within the last 6 hours or the patient is known to have been symptom free within the last 6 hours) 8. Not been an inpatient in hospital or had an emergency hospital attendance within the last 7 days
Exclusion criteria
Exclusion criteria: Been an inpatient in hospital or had an emergency hospital attendance within the last 7 days
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensitivity, specificity, positive and negative predictive values for identification of LVO stroke calculated from the fingerprick blood test result and reference standard tests | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary objectives/analyses will examine the accuracy of the fingerprick test combined with specific clinical information communicated from ambulance practitioners to stroke teams for identification of patients suitable for direct admission to a thrombectomy centre | — |
Countries
England, United Kingdom