Pre-hospital Triage, Stroke, Acute, Stroke Code, Stroke Treatment
Conditions
Brief summary
There are everal scales designed to help ambulance paramedics to identify a patient with a stroke and activate a stroke code. These scales were never tested in the field in a large unselected patient sample. We aim to perform an in-the field head tot head comparison of all published stroke scales designed to be used by ambulance paramedics
Detailed description
this is a multicenter multiregional cohort study including about 3000 stroke code patients. In all patients an application will be filled out before hospital arrival including items that enable us to reconstruct all previously published stroke scales. Data from the application will be related to in hospital data of the same patient. In order to do this we will use a trusted third party for data coupling.
Interventions
Ambulane paramedics will use an online application to fill in several observations on scen
Sponsors
Study design
Eligibility
Inclusion criteria
* patients for whom a stroke code is activated
Exclusion criteria
\< 18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| final diagnosis | discharge or after 3 months | Diangosis by treating physician |
| treated with reperfusion therapy | first 24 hours after admission | treatment with IV thrombolysis; endovascular therapy or surgery |
| additional investigations | on admission | CT scans performed |
Countries
Netherlands