Video-call Assisted Assessment of Acute Stroke in Addition to Stroke Severity Scales in a Prehospital Setting

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

Clinical Phase

NA

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-06

Study Completion Date

2024-01-30

Brief Summary

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This study aims to investigate whether a live stream video between the on-call neurologist and the emergency medical services is feasible.

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Detailed Description

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Multiple stroke severity scales have been coined in order to examine patients suspected of stroke in a prehospital setting in order to identify and transfer patients eligible for thrombectomy directly to a comprehensive stroke centre (CSC). However, performance and feasibility vary greatly in different validation studies suggesting that those outcomes are greatly dependent on other factors i.e. acceptance amongst stakeholders, implementation process, patient segment etc. Some recent studies have shown promising results using telemedicine i.e. video solutions between emergency medical services (EMS) personnel and on-call neurologist in examining patients suspected of stroke in the prehospital phase. The investigators will perform this trial to examine whether a cluster randomised trial with video call assisted assessment of patients suspected of stroke in a prehospital setting is an appropriate trial design and feasible with regard to recruitment and retention, acceptability among stakeholders (EMS and neurologists) as well as patients and lastly with regard to stakeholders' adherence to protocol.

Conditions

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Cerebrovascular Disorders Brain Diseases Central Nervous System Diseases Stroke Nervous System Diseases Vascular Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Interventional video call

All patients suspected of stroke in a prehospital setting are examined according to a prehospital stroke score. The emergency services personnel then contact the on-call neurologist and a live video stream is initiated. The on-call neurologist then examines the patient via the video-call.

Group Type EXPERIMENTAL

Video call

Intervention Type DIAGNOSTIC_TEST

The on-call neurologist can see and communicate with the patient via live stream video-call.

Control with standard care

All patients suspected of stroke in a prehospital setting are examined according to a prehospital stroke score. The emergency services personnel then contact the on-call neurologist by telephone. .

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Video call

The on-call neurologist can see and communicate with the patient via live stream video-call.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Suspected stroke within 24 hours from onset (confirmed with Pre-hospital stroke score 1 ≥1)
* Catchment area of Hospital Sønderjylland
* Deferred informed consent obtained from patient or patient surrogate