Hospital Implementation of a Stroke Protocol for Emergency Evaluation and Disposition

Summary

Most stroke patients are initially evaluated at the closest hospital but some need to be transferred to a hospital that can provide more advanced care. The "Door-In-Door-Out" (DIDO) process at the first hospital can take time making transferred patients no longer able to get the advanced treatments. This study will help hospitals across the US "stand up" new ways to evaluate stroke patients, decide who needs to be transferred, and transfer them quickly for advanced treatment.

Conditions

• Stroke, Acute
• Ischemic Stroke, Acute
• Hemorrhagic Stroke

Interventions

BEHAVIORAL

HI-SPEED Protocol

The HI-SPEED Protocol or Bundle consists of 7 components including 1) stroke screening scales, 2) imaging pathways, 3) telestroke operations, 4) a best practice alert, 5) stroke team communication tool, 6) door-to-needle (thrombolysis) treatment pathway, and 7) a standardized hand-off tool. This protocol will be implemented at each participating health system in clusters of 2 health systems.

Sponsors & Collaborators

• University of Miami

  collaborator OTHER

• Yale University

  collaborator OTHER

• University of Cincinnati

  collaborator OTHER

• Weill Medical College of Cornell University

  collaborator OTHER

• University of Utah

  collaborator OTHER

• Emory University

  collaborator OTHER

• University of Michigan

  collaborator OTHER

• National Institute of Neurological Disorders and Stroke (NINDS)

  collaborator NIH

• University of Chicago

  lead OTHER

Principal Investigators

• Shyam Prabhakaran, MD, MS · University of Chicago

• Jane Holl, MD, MPH · University of Chicago

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-10-17

Primary Completion

2028-01-31

Completion

2028-07-31

Countries

• United States

Study Locations