Advancing Telestroke Care: A Prospective Observational Study (ATC)

National Stroke Association, United States

Status: Completed

Conditions: Stroke

Study type: Observational

Funder types: Other

Identifiers

NCT01226862

NSA Telestroke

Details and patient eligibility

About

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

Full description

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.

Enrollment: 508 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

508 participants in 3 patient groups

Hub Hospital

Description:

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

Description:

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

Description:

Control Hospital Cohort: non-stroke center certified sites with no telemedicine services.