The main aim of the study is to show that patients with suspected acute stroke met by the emergency medical service and assessed using the eSTROKE model including prehospital NIHSS and a mobile application will identify a higher number of patients with stroke, than those who receive conventional prehospital care.
Primary aims: In patients with suspected stroke 1. The proportion of patients hospitalized with a suspected acute stroke and discharged with a stroke diagnose is significantly increased using the ParaNASPP model compared with conventional prehospital care 2. Time from onset to hospitalization is significantly reduced with the ParaNASPP model 3. The ParaNASPP model identifies patients eligible for direct transportation for comprehensive stroke center
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
1,300
The eSTROKE model includes an electronic learning module, a full day course with practical teaching of National Institute of Health Stroke Scale and a mobile application which will be used for communication with in-hospital stroke physician
Conventional prehospital care
Prehospital services - Oslo University Hospital
Oslo, Norway
Positive predictive value (PPV) of the ParaNASPP model to identify patients suffering acute stroke.
Time frame: On discharge from hospital - typically within 7 days.
Number of patients in hospitalized within the first 4 hours after symptom onset
Time frame: first 4 hours On admission
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