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Advancing Telestroke Care: A Prospective Observational Study (ATC)

This study has been completed.
Sponsor:
Collaborators:
University of Southern California
Mayo Clinic
Swedish Medical Center
University of Utah
California Pacific Medical Center
Information provided by (Responsible Party):
National Stroke Association, United States
ClinicalTrials.gov Identifier:
NCT01226862
First received: October 20, 2010
Last updated: December 4, 2013
Last verified: December 2013

October 20, 2010
December 4, 2013
December 2010
May 2013   (final data collection date for primary outcome measure)
IV tPA administration [ Time Frame: Day 7/Discharge ] [ Designated as safety issue: No ]
Correctness of decisions regarding IV tPA administration in acute stroke
Same as current
Complete list of historical versions of study NCT01226862 on ClinicalTrials.gov Archive Site
Multiple Study Assessments [ Time Frame: Day 7 and/or Day 30 and/or Day 90 and/or at discharge ] [ Designated as safety issue: No ]
There are 23 assessments, after stroke, for outcome measures. They include: hospital transfers, treatment with reperfusions therapies, treatment with antiplatelets, hypertension treatment, hyperglycemia treatment, hyperlipidemia treatment, symptomatic ICH, mortality, imaging/diagnostic data, stroke and rehab scale scores, number of hospitalizations since last assessment, hospital LOS, discharge location, number of physician visits, and work status.
Same as current
Not Provided
Not Provided
 
Advancing Telestroke Care: A Prospective Observational Study
Advancing Telestroke Care: A Prospective Observational Study

This study will promote the development and economic sustainability of telemedicine for acute stroke treatment.

The goal of this study is to promote the development and economic sustainability of telemedicine for acute stroke treatment. The study's objectives are 1) to determine if the use of telemedicine consultations for stroke patients will improve their care per guidelines compared to stroke patients treated by control hospitals; and 2) to determine if the care per guidelines provided via telemedicine consultations for stroke patients will be similar or equivalent to care per guidelines provided to stroke patients treated at hub hospitals.

The Advancing Telestroke Care study will establish treatment and outcomes in three distinct study cohorts: hub telemedicine hospital, spoke telemedicine hospital and non-telemedicine control hospital.

Observational
Observational Model: Cohort
Time Perspective: Prospective
Not Provided
Not Provided
Non-Probability Sample

600 subjects meeting inclusion and exclusion criteria will be enrolled consecutively over approximately 12 months and followed for 90 days post-stroke.

Stroke
Not Provided
  • Hub Hospital
    Hub Hospital Cohort: Joint Commission-certified Primary Stroke Centers where patients are treated using hospital-based stroke teams and pathways; these hospital personnel also provide telemedicine consultation to satellite hospitals.
  • Spoke Hospital
    Spoke Hospital Cohort: non-stroke center certified sites, where patients are treated at an in-network telestroke community hospital using telemedicine technology with consultation provided by physicians from a hub hospital.
  • Control Hospital
    Control Hospital Cohort: non-stroke center certified sites with no telemedicine services.
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
508
December 2013
May 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Age greater than or equal to 18 years old
  • Acute ischemic stroke within 12 hours of stroke onset

Exclusion Criteria:

  • Life expectancy less than 90 days
  • Patient unwilling to participate in study
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01226862
NSA Telestroke
Yes
National Stroke Association, United States
National Stroke Association, United States
  • University of Southern California
  • Mayo Clinic
  • Swedish Medical Center
  • University of Utah
  • California Pacific Medical Center
Principal Investigator: Gene Sung, MD, MPH University of Southern California, Los Angeles
National Stroke Association, United States
December 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP