Stroke is the leading cause of long-term disability and the second most common cause of death worldwide. Currently, the protocols require the imaging techniques at the hospitals to differ ischemic strokes with large vessel occlusion (LVO) from others. In this study, a duplex POC will be used in combination with an APP to identify LVO ischemic strokes in a 800 patients'cohort with pre-hospital and in-hospital blood samples.
Stroke is the leading cause of long-term disability and the second most common cause of death worldwide, accounting for around 6.7 million deaths each year. The burden of stroke due to illness, disability and early death is set to double within the next 15 years due to an ageing population. Currently, imaging techniques are required to differentiate ischemic strokes with large vessel occlusion (LVO) from others. Since those neuroimages cannot be easily done at a pre-hospital level, our objective is to develop a simple point-of-care test (POC) to differentiate between both ischemic strokes during the acute phase, which will allow in the future an earlier thrombectomy treatment and an improvement of the patient outcomes significantly. For that, the investigators will recruit a 800 patients' cohort with pre-hospital and in-hospital blood samples by a multiplex POC for the biomarker measurement using an APP in combination with clinical data to identify LVO ischemic strokes. Finally, an interim analysis is planned when 400 patients are recruited.
Study Type
OBSERVATIONAL
Enrollment
355
Duplex Point of Care test to measure the concentration of biomarkers associated to Large Vessel Occlusion in blood samples used in combination with an APP.
Complejo Hospitalario Universitario Albacete
Albacete, Spain
Hospital Universitario Poniente
Almería, Spain
Hospital Universitario Torrecárdenas
Almería, Spain
Evaluation of the diagnosis accuracy of the algorithm LVOCheck (Specificity and sensibility)
* Biomarkers * Clinical data (gender, age, diabetes, dyslipidemia, atrial fibrillation, blood pressure) * Neurologic scales (NIHSS, RACE, GFAST, Cincinatti)
Time frame: 6 months
Viability of the implement of the tool at a pre-hospital environment
* Estimated time in patients direct potentially transferred to the thrombectomy centers. * Error rate in tool performance at a pre-hospital and hospital environment. * Percentage of right use of the tool (human failares) at a pre-hospital and hospital environment.
Time frame: 6 months
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