Acute Stroke Clinical Trial
Official title:
Technical and Clinical Feasibility of Third Generation In-ambulance Telemedicine: Feasibility of AmbulanCe-based Telemedicine (FACT) Study
Research on prehospital telestroke systems is recommended by the American Stroke
Association, as it may facilitate early stroke diagnosis, assessment of stroke severity and
selection of patients for specific stroke treatments
The experience with prehospital telemedicine for assessment of stroke severity is limited.
Prehospital telestroke is a very promising concept, facilitating specialized stroke care in
very early stage based on integration of bidirectional audiovisual communication with point
of care laboratory analysis, vitals and decision support software.
The aim of this prospective study is to investigate the safety, the technical feasibility
and the reliability of in-ambulance telemedicine using a prototype third generation
telemedicine system (PreSSUB 3.0).
Timely treatment can effectively reduce the burden of stroke and should begin with optimal
prehospital stroke care. The slogans 'Time is brain' and 'Competence is brain' adequately
point out that acute stroke is a time-critical medical emergency requiring specialized
treatment.
Pursuant to ongoing technological developments and in line with the American Stroke
Association and the European Stroke Organisation guidelines, the implementation of
telestroke for optimizing inhospital stroke care is currently applied in several countries.
Research on prehospital telestroke systems is recommended by the American Stroke
Association, as it may facilitate early stroke diagnosis, assessment of stroke severity and
selection of patients for specific stroke treatments.
The experience with prehospital telemedicine for assessment of stroke severity, however, is
limited to the TeleBAT project and two recent pilot studies conducted in healthy volunteers.
Prehospital telestroke is a very promising concept, facilitating specialized stroke care in
very early stage based on integration of bidirectional audiovisual communication with point
of care laboratory analysis, vitals and decision support software.
As part of the Prehospital Stroke Study at the Universitair ziekenhuis Brussel (PreSSUB), we
have developed and tested several prototypes for prehospital telemedicine. The current
system consists of commercially available hardware and a Web-based telemedicine platform.
The data are transmitted to a multimedia server unit over a mobile (ultra)broadband
connection (3G or 4G). Data privacy is secured by password-protected logins, role-based
access control, and hypertext transfer protocol secure encryption.
The results of a feasibility study using the 4G network in healthy volunteers have recently
been reported and feasibility data using the 3G network in healthy volunteers are available.
Building further on the reassuring safety and feasibility data specified above, the next
logical step is to evaluate this system for prehospital telemedicine in the real-life
situation involving transportation of patients in the Paramedic Ambulance team
(PIT)-ambulance to the UZ Brussel.
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Observational Model: Cohort, Time Perspective: Prospective
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