A Feasibility Study for Randomization of Code Stroke Imaging Strategies
• Code Stroke Imaging (CSI): MRI Or CT As First Scan For Acute Stroke Evaluation And Management
University of Texas at Austin
600 participants
Oct 23, 2023
OBSERVATIONAL
Conditions
Summary
The purpose of this study is to test feasibility of a comparative effectiveness framework for acute stroke imaging using prospective electronic health data. This is a prospective, cohort feasibility study of patients presenting to the Emergency Department with suspected acute ischemic stroke. The clinical stroke team will not be blinded to the imaging modality given the nature and purpose of the interventions/imaging. Knowledge of the imaging modality used and the knowledge gained from the resulting data will need to be considered for treatment decisions. Blinding will be maintained for data abstraction and analyses. Analysis will be on an "intent-to-scan" basis and all qualifying patients will be included in their assigned cohort.
Eligibility
Inclusion Criteria4
- Age ≥ 18 years
- Time last known well to presentation ≤ 24 hours
- Code-stroke (suspected treatable ischemic stroke) called prior to or upon arrival to Emergency Department
- Presenting to Emergency Department for first time during study period
Exclusion Criteria3
- Transfer patients
- Contraindication for brain perfusion scan
- Prior inclusion in study
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Interventions
neuroimaging using MRI scanner
neuroimaging using CT scanner
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06270927