Clinical trial NCT03181412: Stroke Cincinnati Prehospital Stroke Severity Scale Evaluation iN prEhospital
Official title: Evaluation of the Performances of the Cincinnati Prehospital Stroke Severity Scale Realized During Telephone Call With Emergency Department Physicians to Predict Large-vessel Occlusion
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Stroke
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2017-06-08
Enrollment: 1272
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients with stroke of the Rhone area after emergency medical services call

Brief summary: The effectiveness of acute ischemic stroke (AIS) management has improved considerably in recent years with thrombolysis and more recently with mechanical thrombectomy (MT). Currently, mechanical thrombectomy can only be performed in stroke unit with an interventional neuroradiology center by experienced/qualified interventional neuroradiologists. In the Rhone area, only one hospital has the authorization to perform mechanical thrombectomy. Therefore, transferring directly eligible acute ischemic stroke patients for mechanical thrombectomy to this center constitutes an important stake of the triage of suspected acute ischemic stroke patients. Some validated scores for the identification of severe strokes and large vessel occlusion, including the Cincinnati prehospital stroke severity scale (CPSSS), appear to be relevant for pre-hospital use in order to identify patients potentially eligible for mechanical thrombectomy and address them to a stoke unit with interventional radiology center.


Eligibility criteria: Inclusion Criteria:

* Consecutive patients calling emergency medical services for suspected acute ischemic stroke

Exclusion Criteria:

* Symptom onset (or the last time the patient was seen without deficit ) of more than 6 hours

Primary outcomes:
measure: Performances of Cincinnati prehospital stroke severity scale
timeFrame: 1 day
Secondary outcomes:
Other outcomes:
Locations:
city: Bron
country: France
facility: Neurologie, Hôpital Neurologique - HCL
city: Lyon
country: France
facility: SAMU 69 , Hôpital Edouard Herriot
city: Lyon
country: France
facility: Médecine d'urgence, Clinique de la Sauvegarde
city: Lyon
country: France
facility: Médecine d'urgence, Hôpital de la Croix-Rousse - HCL
city: Lyon
country: France
facility: Médecine d'urgence, Hôpital Desgenettes
city: Lyon
country: France
facility: Médecine d'urgence, Hôpital Mutualiste Médipôle
city: Lyon
country: France
facility: Médecine d'urgence, Hôpital Saint Joseph Saint Luc
city: Pierre-Bénite
country: France
facility: Urgentiste, Centre Hospitalier Lyon Sud
city: Roanne
country: France
facility: Médecine d'urgence, CH de Roanne
city: Tarare
country: France
facility: Médecine d'urgence, Hôpital Nord-Ouest
city: Vienne
country: France
facility: Services Médecine d'urgence et Neurologie, CH de Vienne
city: Villefranche-sur-Saône
country: France
facility: Services Neurologie et Médecine d'urgence, CH de Villefranche sur Saône
Study officials:
References: