To counteract long term sequelae from stroke, ultrarapid diagnosis and treatment, high quality multidiciplinary in-hospital care and optimal long term rehabilitation is required. In this study, the investigators are moving the essential first diagnosis and treatment out into the community close to where the patient live, thus shortening the all important time from debut of symptoms to thrombolytic treatment improving the prognosis of stroke patients.
Stroke is an acute, potentially mutilating disease. To counteract long term sequelae three factors are essential: Ultrarapid diagnosis and treatment, high quality multidiciplinary in-hospital care and optimal long term rehabilitation. Initial diagnosis and treatment has up to now been completed within the hospital domain. This study will change that: moving the essential first diagnosis and treatment out into the community close to where the patient lives thus shortening the all important time from debut of symptoms to thrombolytic treatment. We will operate a local computer tomography (CT) service in the hands of community based non-specialized health care personnel (MD and nurse) acting under direct telemetric guidance from on call hospital specialists. Thus, the investigators will show that by combining current technological advances in real time video communication with an acutely well functioning cooperation between the community and hospital health service personnel the prognosis of stroke patients is improved.
Study Type
OBSERVATIONAL
Enrollment
200
Rural computer tomography for acute stroke
Vestre Viken Hospital Trust
Hønefoss, Buskerud, Norway
Thrombolytic treatment
The proportion of patients with ischaemic stroke receiving thrombolytic treatment in percent.
Time frame: 3 months
Ictus to needle time
Time from onset of stroke symptoms (Ictus) to thrombolytic treatment (Needle).
Time frame: 3 months
Functional status
Modified Rankin Scale (mRS score 0-6). Good outcome 0-2
Time frame: 3 months
Cognitive status
Montreal Cognitive Assessment (MoCA score 0-30). Good outcome 26-30
Time frame: 3 months
Depression
Geriatric depression scale (GDS score 0-30). Good outcome 0-10
Time frame: 3 months
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