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Stroke, Acute clinical trials

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NCT ID: NCT04701684 Recruiting - Stroke, Acute Clinical Trials

WE-TRUST (Workflow Optimization to Reduce Time to Endovascular Reperfusion for Ultra-fast Stroke Treatment)

Start date: June 23, 2021
Phase: N/A
Study type: Interventional

The WE-TRUST study is a multi-center randomized clinical trial to assess the impact of a Direct to Angio Suite (DTAS) workflow on stroke patient outcomes.

NCT ID: NCT04689256 Recruiting - Stroke, Acute Clinical Trials

Pilot Randomized Controlled Study of the Impact of MedRhythms' MR-010 in Acute Stroke

Start date: November 1, 2021
Phase: N/A
Study type: Interventional

The purpose of this clinical pilot study is to evaluate the effects of the MR-010 on tolerability, biomechanics and walking speed in the acute stroke care setting in addition to its impact on length of stay.

NCT ID: NCT04688970 Recruiting - Rehabilitation Clinical Trials

Personalized Neurorehabilitative Precision Medicine - From Data to Therapies

MWKNeuroReha
Start date: December 1, 2020
Phase:
Study type: Observational

Stroke is the most common neurological disease leaving one third dead and one third with permanent impairment despite best medical treatment. The aim of the present study is to investigate why patients differ in how they benefit from neurorehabilitation by collecting clinical, electrophysiological, imaging and laboratory data in the acute phase of stroke as well as later on during rehabilitation and after 90 days. Following a closed-loop approach the data is analyzed by a machine learning algorithm to create a personalized neurorehabilitation strategy.

NCT ID: NCT04640428 Recruiting - Covid19 Clinical Trials

COVID-19 Stroke Apical Lung Examination Study

Start date: July 10, 2020
Phase:
Study type: Observational

Multi-centre prospective study evaluating computed tomography angiography studies performed for stroke patients as a diagnostic and prognostic imaging biomarker.

NCT ID: NCT04620707 Recruiting - Stroke, Acute Clinical Trials

RGS@Home: Personalized 24/7 Home Care Post-stroke

Start date: November 9, 2020
Phase: N/A
Study type: Interventional

Stroke represents one of the main causes of adult disability and will be one of the main contributors to the burden of disease in 2030. However, the healthcare systems are not able to respond to the current demand let alone its future increase. There is a need to deploy new approaches that advance current rehabilitation methods and enhance their efficiency. One of the latest approaches used for the rehabilitation of a wide range of deficits of the nervous system is based on virtual reality (VR) applications, which combine training scenarios with dedicated interface devices. Market drivers exist for new ICT based treatment solutions. IBEC/ Eodyne Systems has developed and commercialised the Rehabilitation Gaming System (RGS), a science-based ICT solution for neurorehabilitation combining brain theory, AI, cloud computing and virtual reality and targeting motor and cognitive recovery after stroke. RGS provides a continuum of evaluations and therapeutic solutions that accompany the patient from the clinic to the therapy centre. RGS has been clinically validated showing its superiority over other products while reducing cost also through its use of standard off-the-shelf hardware and a Software as a Service model (SaaS). Commercial evaluations have shown that RGS acts as a workforce multiplier while delivering a high quality of care at clinical centres (RGS@Clinic). However, in order to achieve significant benefits in the patients' QoL, it is essential that RGS becomes an at home solution providing 24/7 monitoring and care. For this reason, this project aims at investigating the RGS acceptability and adoption model. The findings derived from this study will contribute to establish a novel and superior neurorehabilitation paradigm that can accelerate the recovery of hemiparetic stroke patients. Besides the clinical impact, such achievement could have relevant socioeconomic impact.

NCT ID: NCT04611906 Recruiting - Stroke Clinical Trials

Evaluation of Small Vessel Disease by 3D-rotational Angiography

Start date: November 5, 2020
Phase:
Study type: Observational

This study is aimed to elucidate the factors affecting the remodeling process of arteriolosclerosis under current practice recommendations. Such knowledge may improve the understanding of cerebral small vessel disease (cSVD) mechanism, define pharmacological therapy and suggest treatment target.

NCT ID: NCT04611893 Recruiting - Ischemic Stroke Clinical Trials

Monitoring of NOAC Therapy: Standardizing Reference Intervals

Start date: November 5, 2020
Phase:
Study type: Observational

This study is aimed to establish reference intervals of NOAC (dabigatran, apixaban and rivaroxaban) in ethnic Chinese patients.

NCT ID: NCT04611672 Recruiting - Stroke, Acute Clinical Trials

Linearity and Non-linearity of Cerebral Autoregulation

Start date: October 11, 2020
Phase:
Study type: Observational [Patient Registry]

Injured brain tissue supplied by a disturbed state of cerebral autoregulation (CA) is at risk of secondary ischemia, e.g. in patients with stroke, subarachnoid hemorrhage, intracerebral hemorrhage or bacterial Meningitis. Up to now, there is lack of a simple and easy to perform bed side test that would allow for to intervene when CA failure is indicated. For this purpose, we explore the dynamics of the interplay between blood pressure and cerebral blood flow velocity using transcranial Doppler ultrasound (or near infrared spectroscopy derived haemoglobin concentration changes) as a measure of CA. To describe these dynamics different mathematical models are used, but they all still need validation and proof of concept because these dynamics are poorly understood with respect to the factors which influence the composition of the mathematical models. Objectives: To what amount is CA disturbed in the different stroke subgroups ? Is a disturbed CA a risk factor of poorer outcome ?

NCT ID: NCT04607070 Recruiting - Atherosclerosis Clinical Trials

Ischemic Strokes While on NOAC - How Compliance Matters

Start date: October 1, 2020
Phase:
Study type: Observational

This study is aimed to depict the epidemiological trend, aetiologies, clinical characteristics, treatment options of IS-NOAC in face of the rapidly increasing NOAC usage. Knowledge on this ischaemic stroke entity will define clinical characteristics, identify preventable causes and inform resource allocation on the evaluation modalities, reperfusion strategies and forecast future burden of IS-NOAC.

NCT ID: NCT04578002 Recruiting - Stroke, Acute Clinical Trials

Telestroke 2: Prehospital Triage of Patients With Suspected Stroke Using Onsite Mobile Telemedicine

Telestroke 2
Start date: November 14, 2022
Phase:
Study type: Observational

This study is to investigate clinical efficacy of the pre-hospital triage of patients with suspected acute stroke by using advanced telecommunication tools with digital audio and video real-time streaming.