Clinical trial NCT01136993: Finnish Telestroke Pilot 2007-2009
Official title: Finnish Telestroke Pilot 2007-2009
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Stroke
Keywords: Stroke
Thrombolysis
Telestroke
Lead sponsor: Helsinki University Central Hospital
Sponsor class: OTHER
Collaborators: name: Kuusankoski Regional Hospital Kuusankoski Finland
name: Kymenlaakso Central Hospital Kotka Finland
name: Tampere University Hospital
name: Central Hospital of Lapland Rovaniemi Finland
name: South Carelia Central Hospital
name: Länsi-Pohja Central Hospital Kemi Finland
First posted: 2010-06-04
Enrollment: 109
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: All teleconsultations on stroke thrombolysis decision between the Hub (HUCH) and the 5 Spokes during 2 years time period.

Brief summary: Objective is to describe two years experience from The Finnish Telestroke piloting between Helsinki University Central Hospital (HUCH), Department of Neurology, The Hub, and five hospitals, the spokes. The participating hospitals are from Rovaniemi (Lapland), Kemi (North-West of Finland), Lappeenranta, Kuusankoski and Kotka from South-East of Finland. All the participating hospitals have a stroke unit and the thrombolysis treatment and the follow up of the patients are carried in the treating hospital. The aim of the pilot is to provide these hospitals expertise in thrombolysis treatment during off-hours through teleconsultations.

The teleconsultations were begun between the participating hospitals 05/2007 after about 1 years preparation period. During the preparation period the staff from participating hospitals were trained with simulation training and lectures held by the local staff and the faculty of the Helsinki University hospital.

Telestroke consultation: During two way interactive audio-visual consultation the thrombolysis decision is based on: 1) the consultant going through a check up list of indications and no contraindications to the treatment together with the treating physician and 2) Clinical assessment of NIHSS by the treating physician under guidance of the consultant through the two way video system besides 3) Evaluation of the head CT scan.

The data registered is based on documents made at HUCH and the follow up data provided by the chief neurologist of the other hospitals. 109 teleconsultations have been documented over 2 years period. A unique feature of the Finnish pilot is the high percentage of consultations leading to thrombolysis treatment. Another special feature is that the consultant does the teleconsultation work besides other on call duties.


Eligibility criteria: Inclusion Criteria:

* All stroke patients inside 4.5 hours from the symptom onset considered as thrombolysis candidates by the treating physician of the spoke. In suspected basilar artery thrombosis up to 48 h from symptom onset.

Exclusion Criteria:

* Symptom onset \> 4.5 h

Primary outcomes:
measure: The percentage of thrombolysis treatments per consultations
timeFrame: 2 years
Secondary outcomes:
measure: Safety (sICH) and Efficacy (mRS at 3 months) compared with on-site thrombolysis
timeFrame: 2 years
Other outcomes:
Locations:
city: Helsinki
country: Finland
facility: Department of neurology, HUCH
Study officials:
affiliation: Department of Neurology, HUCH, Helsinki, Finland
name: Tiina Sairanen, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Tatlisumak T, Soinila S, Kaste M. Telestroke networking offers multiple benefits beyond thrombolysis. Cerebrovasc Dis. 2009;27 Suppl 4:21-7. doi: 10.1159/000213055. Epub 2009 Jun 18.