Reasons for Prehospital Delay in Patients With Acute Ischemic Stroke
NCT02798770 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 337
Last updated 2018-10-10
Summary
Ischemic stroke is the leading cause of acquired disability among adults, and one of the main causes of death. In Switzerland, the approved time window for stroke treatment with intravenous thrombolysis after symptom onset is 4.5 h. Even within the 4.5 h time-window, however, the benefit of treatment strongly decreases as time passes.
Moreover, only around 10% patients receive thrombolytic treatment, since patients with stroke arrive too late to the hospital (prehospital delay). Despite efforts to educate the community on the symptom of stroke, prehospital delay did not decrease over time, and the reasons remain incompletely understood. Prehospital delay reduces the proportion of patients with ischemic stroke treated with thrombolysis, and reduces the odds of favorable outcome among the minority treated with thrombolysis.
This prospective cohort study aims at understanding the causes of prehospital delay among patients with acute ischemic stroke. Trained study-nurses will interview, at the bedside, patients and proxies along a standardized questionnaire on prehospital delay. Avoiding modificables causes of prehospital delay may increase the thrombolysis rate and improve outcomes after stroke.
Conditions
- Acute Ischemic Stroke
Interventions
- OTHER
-
No Intervention Foreseen
Sponsors & Collaborators
-
University Hospital, Basel, Switzerland
lead OTHER
Eligibility
- Min Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-08-31
- Primary Completion
- 2017-11-30
- Completion
- 2017-11-30
Countries
- Switzerland
Study Locations
More Related Trials
-
Mechanical Thrombectomy of Acute Ischemic Stroke Anterior Circulation Distal Vessel Occlusion
NCT06427187 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Pre-hospital and In-hospital Iv-tPA Stroke Treatment
NCT02358772 ·Status: COMPLETED
-
Telestroke 2: Prehospital Triage of Patients With Suspected Stroke Using Onsite Mobile Telemedicine
NCT04578002 ·Status: RECRUITING
-
Thrombus Composition in Ischemic Stroke: Analysis of the Correlation With Plasma Biomarkers, Efficacy of Treatment, Etiology and Prognosis
NCT03268668 ·Status: RECRUITING
-
Tele-Stroke: Prehospital Identification of Patients With Suspected Stroke Using Onsite Mobile Telemedicine - Feasibility
NCT03370094 ·Status: COMPLETED
-
Multidimensional Evaluation of Patients With Acute Ischemic Stroke Undergoing Pharmacological and Endovascular Revascularization Procedures for the Identification of Positive Prognostic Factors
NCT05708079 ·Status: UNKNOWN
-
Predictors of Outcome in t-PA Treated Stroke.
NCT01498042 ·Status: COMPLETED
-
Prehospital Minutes Count During a Stroke.
NCT04373993 ·Status: ACTIVE_NOT_RECRUITING
-
PREhospital Routage of Acute STroke Patients With Suspected Large Vessel Occlusion: Mothership Versus Drip and Ship
NCT04121013 ·Status: UNKNOWN ·Phase: NA
-
Mechanical Thrombectomy Of Acute Occlusion In Ischemic Stroke
NCT03144960 ·Status: UNKNOWN ·Phase: NA
-
Information Recall on Informed Consent to Intravenous Thrombolysis in Patients With Acute Ischaemic Stroke.
NCT03246256 ·Status: UNKNOWN
-
Which Factors Influence the Duration and the Success of Mechanical Thrombectomy During the Acute Phase of Cerebral Infarction?
NCT03451903 ·Status: COMPLETED
-
Minor Stroke Therapy Evaluation
NCT03796468 ·Status: RECRUITING ·Phase: NA
-
Study of the Performance of Stroke Management in the Rhône Area
NCT02596607 ·Status: COMPLETED
-
National Retrospective Study Of Recanalization Treatments In Pediatric Arterial Ischemic Stroke
NCT03887143 ·Status: COMPLETED
-
Predictive Factors Of Acute Ischemic Stroke Outcome in Adult
NCT03700879 ·Status: UNKNOWN
-
Involvement of the Physician in Primary Prevention and Pre-hospital Management of Stroke
NCT03975218 ·Status: COMPLETED
-
Exploring Cerebrolysin in Late Thrombectomy for Stroke: Blood-brain Barrier Biomarkers and Imaging Insights
NCT06339411 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
Perfusion and Antihypertensive Therapy in Acute Ischemic Stroke
NCT02327793 ·Status: COMPLETED ·Phase: PHASE2
-
Dynamic Contrast-enhanced Ultrasound Imaging for Cerebral Perfusion Measurement in Acute Ischemic Stroke
NCT02415972 ·Status: COMPLETED
-
Reperfusion Injury After Endovascular Stroke Treatment
NCT05273216 ·Status: RECRUITING
-
Inter-Hospital Transfer to a Vascular Neurology Unit After Telethrombolysis
NCT02902263 ·Status: COMPLETED
-
Intracranial Rescue Stenting for Acute Ischemic Stroke, Predictors of Outcomes
NCT04987710 ·Status: UNKNOWN ·Phase: NA
-
Reperfusion Injury After Stroke Study
NCT03041753 ·Status: UNKNOWN
-
Telemedicine-supported Management for Acute Ischemic Stroke
NCT07302971 ·Status: RECRUITING ·Phase: NA