Impact of Prehospital Stroke Care Patterns on Clinical Outcomes in Acute Stroke Patients

Pattern and Impact of Prehospital Stroke Care on Patient Outcome: A Population-Based Study

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07198893

Enrollment

125

Registered

2025-09-30

Start date

2026-10-01

Completion date

2027-12-30

Last updated

2025-09-30

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

Conditions

Prehospital Stroke Care

Keywords

Prehospital Stroke Care, Patient Outcome:

Brief summary

This study evaluates how prehospital care factors, including stroke awareness, emergency response, transport, and referral processes, impact patient outcomes in acute stroke cases.

Detailed description

The research is a population-based observational cohort study conducted at Assiut University Hospital's Neuropsychiatry Department. It investigates patterns of prehospital stroke care with a focus on patient and caregiver awareness of stroke symptoms, the type of first medical contact, transport modes, referral pathways, and emergency medical service response. The study aims to understand how these prehospital factors influence stroke outcomes, including timely access to treatment, functional recovery, and mortality rates. Standardized tools, structured questionnaires, EMS records, and hospital medical data will be used to collect comprehensive information.

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

* Adults ≥18 years of age Confirmed diagnosis of acute stroke (ischemic/hemorrhagic) verified by CT or MRI Residents of the study's defined geographical area Patients who experienced stroke and sought prehospital care pathways (EMS or direct hospital presentation) Informed consent from the patient or legally authorized representative

Exclusion criteria

* Patients with transient ischemic attack (TIA) or stroke mimics without confirmed acute stroke diagnosis Missing or incomplete data on prehospital care Patients unable or unwilling to provide consent without a representative available Non-residents or visitors outside the designated geographical area

Design outcomes

Primary

Measure	Time frame	Description
Stroke symptom awareness	Baseline	Assessment of general knowledge and recognition of stroke symptoms and prehospital care pathways will be measured using the Stroke Knowledge Test (SKT), a validated questionnaire. The SKT consists of 20 multiple-choice questions evaluating recognition of stroke symptoms and knowledge of emergency response. Scores range from 0 to 20, with higher scores indicating greater awareness and better knowledge.

Outcome results