Acute stroke
Conditions
Interventions
The study will be held in the EMS of Aachen. Within a period of five months totally, all inhabitants who have to make use of the EMS by calling the nationwide emergency phone number 112, will receive
Sponsors
University Hospital Aachen (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All patients who calls EMS in Aachen, Germany from May 1st to September 30th 2010 (as of 17/05/2011; March 1st to July 31st 2010 at time of registration)
Exclusion criteria
Exclusion criteria: Does not match inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Guideline coherence for stroke and acute coronary syndrome: measured with data of the medical records / EMS-documentation 2. Improved treatment time intervals for stroke and ST-Elevation myocardial infarction 2.1. on scene time (all patients) 2.2. call to hospital arrival time (all patients) 2.3. call to PCI time (STEMI) 2.4. call to computed tomography time (stroke) 2.5. call to thrombolysis time (stroke) All time intervals are measured with the computer system of the EMS dispatch centre and the computer systems of the hospitals. Both are synchronised. 3. improved patient safety and patient outcome 3.1. documentation of critical events, evaluated with medical records 3.2. length of hospital stay, evaluated with medical records 3.3. mortality, evaluated with medical records 4. Improved choice of appropriate hospital respiratory facility comparison of the diagnosis and the level of the receiving hospital, evaluated with medical records 5. Improved quality of pre-hospital diagnosis comparison between diagnosis in EMS and the diagnosis in hospital, evaluated with medical records 6. Improved quality of documentation in respect of medical and research purposes. comparison between data quality in standard EMS (paper based documentation) and EMS with TMA (electronic documentation with integrated plausibility check) | — |
Secondary
| Measure | Time frame |
|---|---|
| The usability and feasibility of the system as well as the percentage of safe transferability of monitoring data will be observed and used for further improvement of the system. These criteria are measured with predefined checklists, which have to been completed after each mission with TMA. | — |
Countries
Germany
Outcome results
None listed