Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT05875389 |
| Other study ID # |
20230211-01H |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
May 1, 2024 |
| Est. completion date |
June 2025 |
Study information
| Verified date |
April 2024 |
| Source |
Ottawa Hospital Research Institute |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The goal of this clinical trial is to determine if patients admitted to a primary stroke
centre, such as the general internal medicine service of the Ottawa Hospitals General Campus,
for acute ischemic stroke would benefit from a scheduled virtual assessment with a stroke
neurologist to review investigations, results, and evaluations to identify stroke etiology,
propose appropriate therapy, and guide decision-making and multidisciplinary assessment,
similar to services provided to patients admitted to comprehensive stroke centres, such as
the Civic Campus of the Ottawa Hospital.
Description:
Patients admitted to primary stroke centres do not have access to the same level of stroke
expertise on site as do patients admitted to comprehensive stroke centres, resulting in
increased length of stay with implications for access to stroke rehabilitation. Virtual
access to stroke experts has been used in hyperacute stroke care through programs such as
Ontario Telestroke, but this has not been routinely used for acute inpatient management. The
investigators propose a system to provide virtual access to the stroke neurology team to
patients admitted with stroke in a primary stroke centre. Patients at the General Campus of
the Ottawa Hospital are currently admitted to Internal Medicine; this includes scheduled
virtual assessment with a stroke neurologist and advanced practice nurse/interdisciplinary
support to review investigations, results, and evaluations to identify stroke etiology,
propose appropriate therapy, and guide decision-making and multidisciplinary assessment,
similar to services provided to patients admitted to the Civic Campus. This will be developed
with the assistance of Internal Medicine and will utilize technologies and assessment tools
and strategies already being used for provision of virtual care in other settings. The goal
of this project will be to prove that patients in primary stroke centres, with the assistance
of virtual care, can benefit from the expertise available at comprehensive centers throughout
their stay, and that this will result in an improved quality of care with benefits for
patients, hospitals, and the community.
