Telestroke in Nordland Hospital. A Study of a Telemedicine Network in Rural Hospitals
NCT01582620 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2020-03-26
Summary
The purpose is to study the clinical, technological and organizational impacts of a telestroke service between Nordlandssykehuset, Bodø, and two small rural hospitals in Lofoten and Vesterålen. The stroke specialist in Bodø will examine the patient in cooperation with the doctor at the local hospital through video- and sound communication. Radiology images are transmitted using the RIS/PACS system.
Telestroke consultations may be useful to assess whether the patient needs thrombolysis medication, and also whether there is a need for more advanced specialist neurological or neurosurgical treatment, supporting quick triaging and transfer to the appropriate unit.
The study design is a multi-method approach using before-and-after hospital information data as well as registration forms monitoring patient outcome and pathways. The research questions will be approached from medical, organisational and technological perspectives.
A telestroke service in North Norway is expected to face other challenges than those reported internationally: In Nordlandssykehuset, as in Helse Nord in general, the number of cases is low, clinicians have high turnover, technical support is not available 24/7 and severe weather conditions and long distances might add to the transport time.
Primary hypothesis: The use of telestroke leads to faster and more accurate diagnosis and proper treatment
Secondary hypothesis: Telestroke leads to improved overall patient treatment
Conditions
- Stroke, Acute
Interventions
- PROCEDURE
-
Telestroke
remote videoconference consultations
Sponsors & Collaborators
-
Nordlandssykehuset HF
collaborator OTHER -
University Hospital of North Norway
lead OTHER
Principal Investigators
-
Heidi Jacobsen · Norwegian center for integrated care and telemedicine, Tromsø Norway
-
Rolf Salvesen, PhD professor · Neurological department, Nordlandssykehuset HF
-
Stein Roald Bolle, PhD · Norwegian center for integrated care and telemedicine, University Hospital North Norway, Tromsø
Study Design
- Allocation
- NA
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-08-31
- Primary Completion
- 2012-12-31
- Completion
- 2020-03-24
Countries
- Norway
Study Locations
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