Impact of Prehospital Stroke Care Patterns on Clinical Outcomes in Acute Stroke Patients
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
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Prehospital Stroke Care. 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
- Center list to be confirmed — check the primary protocol.
- 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
Pattern and Impact of Prehospital Stroke Care on Patient Outcome: A Population-Based Study
Overview
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.
Primary outcome measures
- Stroke symptom awareness [Time frame: Baseline]
Eligibility criteria
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
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
Center list to be confirmed — check the primary protocol.
Publications
- 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. PMID 36444720
Identifiers
NCT: NCT07198893 · Prehospital Stroke Care