Ischemic Stroke
Conditions
Brief summary
Elapsed time from the onset of stroke symptoms to the point of revascularization is the key determinant of the optimal outcome of acute ischemic stroke. Pharmacological treatment is less effective if the thrombus occluding the artery is big enough and mechanical thrombectomy is required to gain recanalization. Mechanical thrombectomy can be done only in comprehensive stroke centres. There are 5 comprehensive stroke centres in Finland which causes regional inequality when it comes to reaching mechanical thrombectomy in a reasonable time limit. The aims of the study is to measure the effect of dispatching a helicopter emergency medical services unit on the treatment delays of a stroke patient with large vessel occlusion. The HEMS unit is dispatched to both: getting patient directly to the comprehensive stroke centre as well as to interfacility tranfers.
Interventions
None listed
Sponsors
Tampere University Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 110 Years
Healthy volunteers
No
Inclusion criteria
\- all adult patients transferred for mechanical thrombectomy from the South Ostrobothnia Hospital District to the Tampere University Hospital
Exclusion criteria
* The neurologist on call at the Tampere University hospital deems the patient unable to benefit from mechanical thrombectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The difference of transport times from the onset of ambulance transport to Tampere university hospital until the recording of CT Scout image | from onset of symptoms up to 24 hours | minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The difference of onset to revascularisation time between the groups from the onset of symptoms (last known well) until save time of post revascularization image | from onset of symptoms up to 24 hours | minutes |
| The time difference from the onset of symptoms (last known well) until the save time of post revascularization image | from onset of symptoms up to 24 hours | minutes |
| 90 days modified Rankin scale outcome | telephone interview 90 days after mechanical thrombectomy | mRS 0-6 |
| Availability of the ambulance to the next emergency medical services mission in its own region. Time to next ems mission | from the beginning of ambulance transport up to 24 hours | hours |
Countries
Finland
Contacts
Primary ContactPauli Vuorinen, MD
Outcome results
None listed