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

NCT ID: NCT07198893

Last Updated: 2025-09-30

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

NOT_YET_RECRUITING

Total Enrollment

125 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-10-01

Study Completion Date

2027-12-30

Brief Summary

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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

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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.

Conditions

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Prehospital Stroke Care

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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adults who present with acute stroke

The study population consists of adults who present with acute stroke and have sought or received prehospital care within the hospital's catchment area. Participants are adult patients aged 18 years and above with an acute ischemic or hemorrhagic stroke diagnosis confirmed by neuroimaging

No interventions assigned to this group

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Refat Hamed Khalaf Ahmed

resident at the Neuropsychiatry department

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Zachrison KS, Nielsen VM, de la Ossa NP, Madsen TE, Cash RE, Crowe RP, Odom EC, Jauch EC, Adeoye OM, Richards CT. Prehospital Stroke Care Part 1: Emergency Medical Services and the Stroke Systems of Care. Stroke. 2023 Apr;54(4):1138-1147. doi: 10.1161/STROKEAHA.122.039586. Epub 2022 Nov 29.

Reference Type BACKGROUND
PMID: 36444720 (View on PubMed)

Other Identifiers

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Prehospital Stroke Care

Identifier Type: -

Identifier Source: org_study_id

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