Stroke Team Remote Evaluation Using a Digital Observation Camera (STRokE DOC)
The purpose of this trial is to determine if an experimental remote video camera system is an effective way for a stroke specialist to evaluate stroke patients from a distant site.
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||A Prospective Study to Evaluate the Efficacy of a Remote Digital Observation Camera Protocol in the Evaluation and Thrombolytic Treatment of Acute Stroke Patients in the Remote Hospital Setting|
- Appropriateness of Decision to Treat or Not Treat With Thrombolytics [ Time Frame: potentially within 3 hours of symptom onset ] [ Designated as safety issue: No ]
- Percentage of Participants With Intracerebral Hemorrhage (ICH) [ Time Frame: 36 hours ] [ Designated as safety issue: Yes ]
- Percentage of Total Thrombolytic Administrations [ Time Frame: potentially within 3 hours of symptom onset ] [ Designated as safety issue: No ]
- Time to Treatment Decision for Administration of Thrombolytics [ Time Frame: potentially within 3 hours of symptom onset ] [ Designated as safety issue: No ]
- Percentage of Evaluations With Technical Observations [ Time Frame: Time of consultation ] [ Designated as safety issue: No ]
|Study Start Date:||January 2004|
|Study Completion Date:||August 2007|
|Primary Completion Date:||August 2007 (Final data collection date for primary outcome measure)|
Patients randomized to this group were evaluated using the digital observation camera and DICOM evaluations for telemedicine
Patients randomized to this group were evaluated using telephone only and no use of the digital observation camera or DICOM
The Stroke Team Remote Evaluation Using a Digital Observation Camera (STRokE DOC) system is a digital video camera system that can transfer video and audio images from the clinic or emergency room to a distant (remote) place where a stroke specialist can review the images in real time (as they happen). This system uses site independent software to access the camera system from multiple locations. The study will determine if video consultation is superior to telephone consultation for remote evaluation or treatment of stroke patients, and the usefulness of this system in evaluating patients with suspected stroke symptoms. However, this method is being used in other fields of medicine for assistance in medical evaluations.
Participants will be randomly assigned to receive evaluation by either the video camera system or by telephone alone. For those assigned to the video camera system, the system will be activated and will record and transmit video and audio images to a stroke specialist located at a remote location. He/she may ask the participants questions relating to medical illnesses and current symptoms, and may also review laboratory tests and x-ray images using a computer, if available. The stroke specialist will also perform general physical and neurological examinations, which will take place by video camera with the assistance of a bedside physician who will perform the actual examinations.
For those participants assigned to the telephone-only consultation, the video system will not be activated, but the same procedure as above will be followed except the stroke specialist will not be able to see the participants or examine them using the video camera system. Participation in the study will last for the entire time the participants are in the hospital. Participants will be contacted by telephone by a study nurse 3 months post-stroke for a 10-minute interview regarding their current health. The total duration for individual participation is 3 months.
The study is part of the Specialized Program of Translational Research in Acute Stroke (SPOTRIAS), which allows researchers to enhance and initiate translational research that ultimately will benefit stroke patients.
|United States, California|
|Pioneers Memorial Hospital|
|Brawley, California, United States|
|El Centro Regional Medical Center|
|El Centro, California, United States|
|University of California San Diego|
|San Diego, California, United States|
|Twin Cities Community Hospital|
|San Luis Obispo, California, United States|
|Principal Investigator:||Brett Meyer, MD||UCSD Stroke Center|