Advancing Telestroke Care: A Prospective Observational Study

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01226862

Acronym

ATC

Enrollment

508

Registered

2010-10-22

Start date

2010-12-31

Completion date

2013-12-31

Last updated

2013-12-05

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

Conditions

Stroke

Keywords

Stroke, Telemedicine, Telestroke

Brief summary

This study will promote the development and economic sustainability of telemedicine for acute stroke treatment.

Detailed description

The goal of this study is to promote the development and economic sustainability of telemedicine for acute stroke treatment. The study's objectives are 1) to determine if the use of telemedicine consultations for stroke patients will improve their care per guidelines compared to stroke patients treated by control hospitals; and 2) to determine if the care per guidelines provided via telemedicine consultations for stroke patients will be similar or equivalent to care per guidelines provided to stroke patients treated at hub hospitals. The Advancing Telestroke Care study will establish treatment and outcomes in three distinct study cohorts: hub telemedicine hospital, spoke telemedicine hospital and non-telemedicine control hospital.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Age greater than or equal to 18 years old * Acute ischemic stroke within 12 hours of stroke onset

Exclusion criteria

* Life expectancy less than 90 days * Patient unwilling to participate in study

Design outcomes

Primary

Measure	Time frame	Description
IV tPA administration	Day 7/Discharge	Correctness of decisions regarding IV tPA administration in acute stroke

Secondary

Measure	Time frame	Description
Multiple Study Assessments	Day 7 and/or Day 30 and/or Day 90 and/or at discharge	There are 23 assessments, after stroke, for outcome measures. They include: hospital transfers, treatment with reperfusions therapies, treatment with antiplatelets, hypertension treatment, hyperglycemia treatment, hyperlipidemia treatment, symptomatic ICH, mortality, imaging/diagnostic data, stroke and rehab scale scores, number of hospitalizations since last assessment, hospital LOS, discharge location, number of physician visits, and work status.

Countries

United States

Outcome results