Stroke Triage Optimization by Ambulance Paramedics in the Pre-hospital Setting
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: stroke-APP.
- Who it may be relevant to
- Registry conditions: Stroke, Acute, Pre-hospital Triage, Stroke Treatment, Stroke Code. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Netherlands
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparison of Prehospital Stroke Screening Scales in the Ambulance Setting; a Multiregional, Multicenter Observational Cohort Study
Overview
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
- Other stroke-APP
Ambulane paramedics will use an online application to fill in several observations on scen
Primary outcome measures
- final diagnosis [Time frame: discharge or after 3 months]
- treated with reperfusion therapy [Time frame: first 24 hours after admission]
- additional investigations [Time frame: on admission]
Eligibility criteria
Inclusion criteria
- patients for whom a stroke code is activated
Exclusion criteria
< 18 years
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Netherlands · 1 center
- Leiden University medical center — Leiden
Identifiers
NCT: NCT06332989 · N22.129