Acute Intracranial Hemorrhage, Acute Ischemic Stroke, Stroke
Conditions
Keywords
Registry, Cohort study, Mixed methods, Prehospital, Stroke
Brief summary
The main purpose of this trial is to observe whether Xingnaojing, intravenously administered within 24 hours of symptom onset on pre-hospital emergency ambulance, improves the Early neurological deterioration of acute stroke at 3 days.
Detailed description
The TRACE is a multicenter, registry observational study. Xingnaojing injection is the only essential traditional chinese medicine on emergency ambulance used for acute stroke.The primary hypothesis of this trial is that Xingnaojing used for acute stroke within 24 hours of symptom onset on ambulance will improve the Early neurological deterioration of acute stroke at 3 days. All suspected acute stroke participants will be registered once they are taken on the ambulance. The primary outcome will be determined at 3 days.Besides, there will be a quantitative interview with emergency doctors about their knowledge and attitude on Xingnaojing for acute stroke patients.
Interventions
intravenously administered Xingnaojing injection within 24 hours of symptom onset on ambulance or at hospital
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of suspected acute stroke; * Symptom onset within 24 hours; * Age ≥ 18 .
Exclusion criteria
* Other conditions that lead to motor dysfunction (e.g., severe osteoarthrosis, rheumatoid arthritis); * Other conditions that render outcomes or follow-up unlikely to be assessed; Known to be pregnant or breastfeeding; * Non-acute stroke (result from Computed Tomography(CT) or Magnetic Resonance Imaging(MRI)).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Early neurological deterioration(change between baseline and 3 days) | 3 days | The early neurologic deterioration is defined as an increase of 1 points or more in the National Institute of Health Stroke Scale (NIHSS) score between baseline and 3 days. The NIHSS score ranges from 0 (best score) to 42 (worst score). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of stroke related deaths and deaths from any cause | 14 days during hospitalization | Rate of stroke related deaths and deaths from any cause during hospitalization |
| Neurological impairment | Baseline and day of discharge or 10 days | Evaluated by National Institute of Health Stroke Scale (NIHSS) |
| Risk grade of cerebral hemorrhage | Baseline and day of discharge or 10 days | Intracranial hemorrhage evaluated by Intracerebral Haemorrhage(ICH) scale. |
| Activities of daily living | 30 days,60 days and 90 days | Activities of daily living will be measured by Barthel Index (BI)score at 30 days and 90 days.The Barthel Index score ranges from 0 (worst score) to 100 (best score). |
| The proportion of patients independent | 30 days,60 days and 90 days | The proportion of patients independent will be evaluated by modified Rankin Scale(mRS).The mRS score ranges from 0 (best score) to 6 (worst score). |
Countries
China