Evaluating the Safety and Efficacy of Telemedicine Neurology Assessments on a Mobile Stroke Unit

Last updated: February 27, 2025
Sponsor: Melbourne Health
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

Thrombosis

Stroke

Hemorrhage

Treatment

Telemedicine Assessment by Remote Neurologist

In-Person Assessment by an Onboard Neurologist

Clinical Study ID

NCT05991310
2023.110
  • Ages > 18
  • All Genders

Study Summary

The goal of this clinical trial is to compare a telemedicine neurologist staffing model to a traditional on-board model in patients being assessed for suspected acute stroke on a mobile stroke unit.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Adults >=18 years of age

  2. Presenting within 24 hours of symptom onset or last known well.

  3. Patients assessed by MSU without cancellation (either by the local ambulance team orby MSU) prior to attending the patient.

Exclusion

Exclusion Criteria:

  1. Attendance of the Melbourne MSU is deemed unnecessary by either the local paramedicteam or the MSU team based on provided information prior to arrival on scene.

  2. The patient presents significant medical or logistical challenges which greatlydelay standard treatment.

  3. Any other medical contraindication at the discretion of the investigator.

Study Design

Total Participants: 270
Treatment Group(s): 2
Primary Treatment: Telemedicine Assessment by Remote Neurologist
Phase:
Study Start date:
August 21, 2023
Estimated Completion Date:
May 31, 2025

Study Description

This study is a prospective randomized mobile stroke unit trial comparing two staffing models: 1) a neurologist reviewing the patient via telemedicine (intervention) versus 2) an onboard neurologist assessing the patient in-person (comparator). Daily periods of remote (telemedicine) or in person (onboard) neurologist assessments will be randomly determined using an adaptive design.

Connect with a study center

  • Royal Melbourne Hospital Mobile Stroke Unit

    Melbourne, Victoria 3050
    Australia

    Site Not Available

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