Hospital Implementation of a Stroke Protocol for Emergency Evaluation and Disposition
Implementation of a Stroke Protocol for Emergency Evaluation and Disposition
University of Chicago
900 participants
Oct 17, 2024
INTERVENTIONAL
Conditions
Summary
Most stroke patients are initially evaluated at the closest hospital but some need to be transferred to a hospital that can provide more advanced care. The "Door-In-Door-Out" (DIDO) process at the first hospital can take time making transferred patients no longer able to get the advanced treatments. This study will help hospitals across the US "stand up" new ways to evaluate stroke patients, decide who needs to be transferred, and transfer them quickly for advanced treatment.
Eligibility
Inclusion Criteria2
- Age \>=18 years
- Final diagnosis: AIS, ICH, or SAH
Exclusion Criteria5
- Final diagnosis: TIA or stroke NOS
- Age \<18 years
- Comfort care measures on day 0 or 1
- Left hospital against medical advice
- Enrolled in clinical trial related to stroke that is competing with this study
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
The HI-SPEED Protocol or Bundle consists of 7 components including 1) stroke screening scales, 2) imaging pathways, 3) telestroke operations, 4) a best practice alert, 5) stroke team communication tool, 6) door-to-needle (thrombolysis) treatment pathway, and 7) a standardized hand-off tool. This protocol will be implemented at each participating health system in clusters of 2 health systems.
Locations(7)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06094478