Telemedicine for Optimized Collection of CLinical datA in Patients With Suspicion of Acute Stroke (TeleCLASS)

Universitair Ziekenhuis Brussel

Status: Unknown

Conditions: Stroke

Treatments: Device: Telemedicine

Study type: Observational

Funder types: Other

Identifiers

NCT02310282

B.U.N. 143201010021

Details and patient eligibility

About

Observational prospective single-center study on the discriminatory value of the Unassisted TeleStroke Scale for differentiation between patients with lacunar stroke and those with other acute stroke syndromes.

Full description

Assessment of stroke severity and differentiation between large-artery and small-artery stroke is pivotal for adequate treatment decision taking. Patients with small vessel stroke tend have a better prognosis than those with large artery disease. Further, patients with small artery infarction (lacunar stroke) have shown to respond well to treatment with intravenous recombinant tissue plasminogen activator (IV rt-PA), but are poor candidates for endovascular recanalization. Conversely, IV rt-PA may be less effective at restoring perfusion of large artery occlusion, a stroke subtype that may benefit from intra-arterial thrombolysis or embolectomy. Similarly, patients with large intracerebral hemorrhage or cerebellar hemorrhage may require neurosurgical interventions, such as intracranial pressure monitoring, ventricular drainage, surgical evacuation, or hemicraniectomy.

The purpose of TeleCLASS is to evaluate the discriminatory value of the Unassisted TeleStroke Scale (UTSS) obtained through in-hospital telemedicine for differentiation between patients with lacunar stroke and those with other acute stroke syndromes (nonLACS).

Enrollment: 50 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria:

• Age > 18 years
• Suspicion of acute stroke with symptom onset < 72 h before teleconsultation
• NIHSS score > 0
• Informed consent

Exclusion criterion:

• Patients for whom telestroke consultation would delay any diagnostic or therapeutic intervention

Trial design

50 participants in 1 patient group

Telemedicine

Description:

In-hospital telemedicine by a stroke expert aiming to assess stroke severity using the Unassisted TeleStroke Scale.

Treatment:

Device: Telemedicine