In:
Journal of Translational Internal Medicine, Walter de Gruyter GmbH, Vol. 3, No. 2 ( 2015-6-30), p. 57-63
Abstract:
Rationale: Stroke is a time-critical medical emergency requiring specialized treatment.
Prehospital delay contributes significantly to delayed or missed treatment opportunities. In-ambulance telemedicine can bring stroke expertise to the prehospital arena and facilitate
this complex diagnostic and therapeutic process. Aims: This study evaluates the efficacy, safety, feasibility, reliability and cost-effectiveness of in-ambulance telemedicine for patients
with suspicion of acute stroke. We hypothesize that this approach will reduce the delay to in-hospital treatment by streamlining the diagnostic process and that prehospital stroke
care will be improved by expert stroke support via telemedicine during the ambulance transportation. Design: PreSSUB II is an interventional, prospective, randomized,
open-blinded, end-point, single-center trial comparing standard emergency care by the Paramedic Intervention Team of the Universitair Ziekenhuis Brussel (control) with standard
emergency care complemented with in-ambulance teleconsultation service by stroke experts (PreSSUB). Study Outcomes: The primary efficacy endpoint is the call-to-brain imaging
time. Secondary endpoints for the efficacy analysis include the prevalence of medical events diagnosed and corrected during in-ambulance teleconsultation, the proportion of
patients with ischemic stroke receiving recanalization therapy, the assessment of disability, functional status, quality of life and overall well-being. Mortality at 90 days after stroke
is the primary safety endpoint. Secondary safety analysis will involve the registration of any adverse event. Other analyses include assessment of feasibility and reliability and a
health economic evaluation.
Type of Medium:
Online Resource
ISSN:
2224-4018
DOI:
10.1515/jtim-2015-0004
Language:
English
Publisher:
Walter de Gruyter GmbH
Publication Date:
2015
detail.hit.zdb_id:
2861892-0
Permalink
