Stroke Triage Optimization by Ambulance Paramedics in the Pre-hospital Setting

Leiden University Medical Center3,000 enrolled

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

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.

Study Type

OBSERVATIONAL

Enrollment

3,000

Conditions

Stroke, Acute Pre-hospital Triage Stroke Treatment Stroke Code

Interventions

stroke-APPOTHER

Ambulane paramedics will use an online application to fill in several observations on scen

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients for whom a stroke code is activated Exclusion Criteria: \< 18 years

Locations (1)

Leiden University medical center

Leiden, Netherlands

RECRUITING

Outcomes

Primary Outcomes

final diagnosis

Diangosis by treating physician

Time frame: discharge or after 3 months

treated with reperfusion therapy

treatment with IV thrombolysis; endovascular therapy or surgery

Time frame: first 24 hours after admission

additional investigations

CT scans performed

Time frame: on admission

Data from ClinicalTrials.gov

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