Suspected and confirmed acute stroke Circulatory System Stroke, not specified as haemorrhage or infarction
Conditions
Interventions
This research study is a multicentre cluster randomised controlled trial with included health economic and process evaluations. The intervention to be evaluated is a new pathway which involves communi
Sponsors
Newcastle upon Tyne Hospitals NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. An ambulance practitioner from a randomised station/team attended the incident 2. Conveyance was to either a local stroke hospital which refers patients to the participating specialist regional hospital, or directly to the participating specialist regional hospital 3. Acute stroke was suspected by the attending ambulance practitioner (i.e. Face, Arm, Speech Test (FAST) positive or any observed new focal neurological symptoms which indicated acute stroke according to the ambulance practitioner’s clinical judgement) OR acute stroke was diagnosed following arrival at a participating hospital irrespective of ambulance practitioner initial judgement of symptom cause
Exclusion criteria
Exclusion criteria: Does not meet the inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Data collected from routine healthcare sources throughout the study period: 1. Thrombectomy rate 2. The time from stroke symptom onset to thrombectomy (when thrombectomy is received) | — |
Secondary
| Measure | Time frame |
|---|---|
| Data collected from routine healthcare sources throughout the study period: 1. Key emergency care time intervals 2. Receipt of and time to thrombolysis treatment 3. Stroke severity 24 hours post reperfusion treatment (NIHSS) 4. Length of hospital stay 5. Dependency at discharge (mRS) | — |
Countries
England, United Kingdom
Outcome results
None listed