Stroke Clinical Trial
Official title:
A Prospective Study to Evaluate the Efficacy of a Remote Digital Observation Camera Protocol in the Evaluation and Thrombolytic Treatment of Acute Stroke Patients in the Remote Hospital Setting
The purpose of this trial is to determine if an experimental remote video camera system is an effective way for a stroke specialist to evaluate stroke patients from a distant site.
The Stroke Team Remote Evaluation Using a Digital Observation Camera (STRokE DOC) system is
a digital video camera system that can transfer video and audio images from the clinic or
emergency room to a distant (remote) place where a stroke specialist can review the images
in real time (as they happen). This system uses site independent software to access the
camera system from multiple locations. The study will determine if video consultation is
superior to telephone consultation for remote evaluation or treatment of stroke patients,
and the usefulness of this system in evaluating patients with suspected stroke symptoms.
However, this method is being used in other fields of medicine for assistance in medical
evaluations.
Participants will be randomly assigned to receive evaluation by either the video camera
system or by telephone alone. For those assigned to the video camera system, the system will
be activated and will record and transmit video and audio images to a stroke specialist
located at a remote location. He/she may ask the participants questions relating to medical
illnesses and current symptoms, and may also review laboratory tests and x-ray images using
a computer, if available. The stroke specialist will also perform general physical and
neurological examinations, which will take place by video camera with the assistance of a
bedside physician who will perform the actual examinations.
For those participants assigned to the telephone-only consultation, the video system will
not be activated, but the same procedure as above will be followed except the stroke
specialist will not be able to see the participants or examine them using the video camera
system. Participation in the study will last for the entire time the participants are in the
hospital. Participants will be contacted by telephone by a study nurse 3 months post-stroke
for a 10-minute interview regarding their current health. The total duration for individual
participation is 3 months.
The study is part of the Specialized Program of Translational Research in Acute Stroke
(SPOTRIAS), which allows researchers to enhance and initiate translational research that
ultimately will benefit stroke patients.
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Observational Model: Cohort, Time Perspective: Prospective
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