Stroke Clinical Trial
Official title:
Telemedicine for Optimized Collection of CLinical datA in Patients With Suspicion of Acute Stroke
Observational prospective single-center study on the discriminatory value of the Unassisted TeleStroke Scale for differentiation between patients with lacunar stroke and those with other acute stroke syndromes.
Assessment of stroke severity and differentiation between large-artery and small-artery
stroke is pivotal for adequate treatment decision taking. Patients with small vessel stroke
tend have a better prognosis than those with large artery disease. Further, patients with
small artery infarction (lacunar stroke) have shown to respond well to treatment with
intravenous recombinant tissue plasminogen activator (IV rt-PA), but are poor candidates for
endovascular recanalization. Conversely, IV rt-PA may be less effective at restoring
perfusion of large artery occlusion, a stroke subtype that may benefit from intra-arterial
thrombolysis or embolectomy. Similarly, patients with large intracerebral hemorrhage or
cerebellar hemorrhage may require neurosurgical interventions, such as intracranial pressure
monitoring, ventricular drainage, surgical evacuation, or hemicraniectomy.
The purpose of TeleCLASS is to evaluate the discriminatory value of the Unassisted
TeleStroke Scale (UTSS) obtained through in-hospital telemedicine for differentiation
between patients with lacunar stroke and those with other acute stroke syndromes (nonLACS).
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Observational Model: Cohort, Time Perspective: Prospective
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