Enhancing Prehospital Stroke Diagnosis (AIPO)

Agenzia Regionale emergenza Urgenza

Status: Enrolling

Conditions: Stroke

Treatments: Procedure: Standard; Procedure: Video call + LARIO; Procedure: Video call

Study type: Observational

Funder types: Other

Identifiers

NCT06427746

AREU_A.I.P.O.

Details and patient eligibility

About

Current American Heart Association Guidelines recommend that stroke patients be promptly rescued and identified so that the accepting hospital can be alerted and prepared to receive and treat them promptly. It is also recommend that stroke identification be performed using validated and standardized assessment scales. This study aims to analyze the possibility to increase the correct identification of stroke patients after implementation of several new operative procedures by the emergency medical service (EMS) of the metropolitan area of Milan (SOREU). The interventions adopted include:

1. the evaluation of patients with suspected stroke via video call between the lay rescue personnel and the dispatch healthcare personnel
2. the training of lay rescue personnel, operating in the metropolitan area, aimed at implementing the application of the Cincinnati Prehospital Stroke Scale (CPSS) scale and to expand the neurological examination with the addiction of the Large ARtery Intracranial Occlusion Stroke Scale (LARIO) in the clinical evaluation.

Enrollment: 2,197 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• suspected stroke
• rescued by basic life support vehicle
• consciousness
• informed consent

Exclusion criteria

• age < 18 years
• rescued by an advanced life support vehicle

Trial design

2,197 participants in 3 patient groups

Standard

Description:

stroke diagnosis in the pre-hospital settings, based on the CPSS scale assessed by lay rescuers

Treatment:

Procedure: Standard

Video call

Description:

stroke diagnosis in the pre-hospital settings, based on the CPSS scale assessed by lay rescuers during live video call with the healthcare personnel in EMS dispatch

Treatment:

Procedure: Video call

Video call + LARIO

Description:

stroke diagnosis in the pre-hospital settings, based on the CPSS + LARIO scales assessed by lay rescuers (with specific training on the 2 scales) during live video call with the healthcare personnel in EMS dispatch

Treatment:

Procedure: Video call + LARIO