Telestroke Triage in Suspected Stroke Patients
NCT07657117 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 484
Last updated 2026-06-23
Summary
The ASTRAL trial is a randomized study in patients with suspected stroke in the ambulance setting. The study evaluates whether prehospital telestroke consultation, in addition to standard care, can reduce unnecessary stroke code activations and improve patient triage, treatment efficiency, and resource use. Participants are randomized to telestroke triage plus standard care or standard care alone. Outcomes include unnecessary stroke code activation, patient allocation, treatment times, functional outcome, safety, and cost-effectiveness.
Conditions
Interventions
- OTHER
-
Telestroke triage
Live tele-neurologist consultation via the SMART Triage platform during ambulance assessment of suspected stroke.
- OTHER
-
Standard Care (in control arm)
Usual prehospital stroke triage according to RAV Hollands Midden protocols without telestroke consultation.
Sponsors & Collaborators
-
NyikaKruyt
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-08-01
- Primary Completion
- 2027-12-01
- Completion
- 2027-12-01
Countries
- Netherlands
Study Locations
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