Prospective Study of Cerebrovascular Accidents (CVA) in 3 French Cities (Besançon, Cayenne and Tours)

NCT ID: NCT04925869

Last Updated: 2021-06-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-05-07

Study Completion Date

2020-03-31

Brief Summary

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The objective of this study is to specify the typology of CVA in French Guiana by prospectively comparing consecutive strokes observed at each of the three study sites (Cayenne, Tours, Besançon)

Detailed Description

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CVA is a public health problem that is managed in a codified manner by the Neurovascular Units (NU). In Cayenne, in the absence of a NU, strokes are managed directly in the emergency room by 24-hour telemedicine provided by the neurovascular team at the Besançon University Hospital. The vascular neurologist can perform a clinical examination remotely in a dedicated examination room and has access to magnetic resonance imaging by image transfer. The Tours and Besançon university hospitals each have a regional reference NU. The coordinating investigator of the study is the head of the neurology department of the Tours University Hospital, currently on an extended mission in Cayenne. The initial emergency management of a person with stroke who is hospitalized is comparable between the three regions studied.

Epidemiological studies show disparities in stroke mortality and vascular risk factors between French regions. The stroke mortality rate in French Guiana in 2013 (72 per 100 000 population per year) was twice that of metropolitan France. The standardized prevalence rate of diabetes in French Guiana is 7.1% of the population compared with 4.4% in metropolitan France, and the prevalence of hypertension is twice as high among women in the French Guiana West Indies compared with metropolitan France. There are twice as many obese persons (BMI\>30) in Guyanese women compared with metropolitan France.

We propose a prospective observational study based on the following hypothesis:

The average age of stroke occurrence, its type (ischemic or hemorrhagic), the vascular territories involved, the vascular risk factors, and the pre-hospital and intra-hospital management times will be superimposable between two metropolitan regions but different in French Guyana.

Conditions

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Cerebrovascular Accident Thrombolysis

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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The hospitals of Besançon

Adult patients with MRI-confirmed CVA admitted to the hospitals of Besançon

Observational study

Intervention Type OTHER

Observational study

the hospitals of Cayenne

Adult patients with MRI-confirmed CVA admitted to the hospitals of Cayenne.

Observational study

Intervention Type OTHER

Observational study

the hospitals of Tours

Adult patients with MRI-confirmed CVA admitted to the hospitals of Tours.

Observational study

Intervention Type OTHER

Observational study

Interventions

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Observational study

Observational study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient with a diagnosis of Cerebral Vascular Accident confirmed on MRI

Exclusion Criteria

* Age under 18 years
* Absence of MRI
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Régional Universitaire de Tours

OTHER_GOV

Sponsor Role collaborator

Centre Hospitalier Régional Universitaire, Besançon

UNKNOWN

Sponsor Role collaborator

Centre Hospitalier de Cayenne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bertrand De Toffol, PHD

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier de Cayenne

Locations

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Centre Hospitalier de Cayenne

Cayenne, Guiana, French Guiana

Site Status

Countries

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French Guiana

Other Identifiers

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AVC BCT

Identifier Type: -

Identifier Source: org_study_id

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