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Reduction of In-hospital Delays in Stroke Thrombolysis: SITS-WATCH

S

SITS International

Status

Unknown

Conditions

Stroke

Treatments

Other: Reduction of DTN

Study type

Interventional

Funder types

NETWORK

Identifiers

NCT01811901
20130215
20130214

Details and patient eligibility

About

In patients with acute ischemic stroke: the sooner the thrombolysis treatment is administered after symptom onset - the better the outcome. This delay can be dissected into onset-to-door time and door-to-needle time (DNT). SITS-WATCH aims to reduce median DNT in participating centres.

Full description

In patients with acute ischemic stroke: the sooner the thrombolysis treatment is administered after symptom onset - the better the outcome. This delay can be dissected into onset-to-door time and door-to-needle time (DNT). Of the two, DNT can be directly influenced within the hospital by stream-lining of acute stroke care. The aim of our study is to reduce in-hospital delays (DNT) in self-selecting centers recruiting patients into the the Safe Implementation of Treatments in Stroke-International Stroke Thrombolysis Register (SITS-ISTR) , comprising currently more than 80 000 patients from 1338 centers. Current median of DNT in all SITS centers is 65 minutes (compared with 20 minutes in Helsinki Univer-sity Central Hospital). An itemized detailed questionnaire, including all factors known to influence DNT, has been sent to all SITS centers to identify the reasons for long in-hospital delays. Based on the replies, we have prepared a list of interventions that can be considered by individual SITS centers in order to reduce DNT with interventions that are in line with national legislation.

Enrollment

3,000 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • All consecutive patients with acute ischemic stroke registered in SITS registry.

Exclusion criteria

  • Centers not inputing patient data into SITS registry. Patients with missing DNT data.

Trial design

Primary purpose

Health Services Research

Allocation

Non-Randomized

Interventional model

Single Group Assignment

Masking

None (Open label)

3,000 participants in 2 patient groups

Intervention group (SITS-WATCH centers)
Active Comparator group
Description:
15-item list of suggested interventions aiming to reduce DNT sent to SITS-WATCH centers.
Treatment:
Other: Reduction of DTN
Control group (non SITS-WATCH centers in SITS registry)
No Intervention group
Description:
Centres that do not use 15-item list of suggested interventions aiming to reduce DNT.

Trial contacts and locations

1

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Central trial contact

Daniel Strbian, Dr.; Nils Wahlgren, Prof.

Data sourced from clinicaltrials.gov

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