Alipay navigation to speed hospital care for people with acute ischemic stroke who go to hospital on their own
Ali Pay Intelligent Navigation Applet-aided Pre-hospital Triage for Non-emergency Medical Service Patients With Acute Ischemic Stroke: A Step-wedge Cluster Randomized Controlled Trial
This test uses an Alipay applet that guides people with acute ischemic stroke who arrive without an ambulance to the right hospital faster for possible reperfusion therapy.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 20000 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Second Affiliated Hospital, School of Medicine, Zhejiang University Academic / other |
| Locations | 1 site (Shaoxing, Zhejing) |
| Trial ID | NCT06613074 on ClinicalTrials.gov |
What this trial studies
The trial deploys an Alipay applet with three modules—stroke knowledge education, stroke recognition, and hospital recommendation—to guide patients who travel to hospital on their own. Eligible participants are adults with acute ischemic stroke who receive reperfusion therapy within 24 hours of symptom onset; patients transported by emergency medical services or with in-hospital stroke are excluded. Investigators will compare pre-hospital delay and functional outcomes after reperfusion between users of the intelligent navigation applet and usual care. Primary measures include time from symptom onset to hospital arrival and functional status following treatment.
Who should consider this trial
Good fit: Ideal candidates are people with acute ischemic stroke who arrive at hospital on their own and undergo reperfusion therapy within 24 hours of symptom onset.
Not a fit: Patients brought in by emergency medical services or those who have an in-hospital stroke are excluded and would not benefit from this applet-based navigation approach.
Why it matters
Potential benefit: If successful, the applet could shorten time to hospital and treatment and improve functional outcomes for eligible acute ischemic stroke patients.
How similar studies have performed: Previous efforts to optimize EMS pathways have improved time to treatment, but using a widely available public applet to guide self-transporting stroke patients is a novel approach with limited prior testing.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients diagnosed as acute ischemic stroke undergoing reperfusion therapy within 24 hours of onset Exclusion Criteria: * Patients transported to hospitals via emergency medical service * Patients with in-hospital stroke
Where this trial is running
Shaoxing, Zhejing
- Shaoxing People's Hospital — Shaoxing, Zhejing, China (Recruiting)
Study contacts
- Study coordinator: Min Lou, PhD, MD
- Email: lm99@zju.edu.cn
- Phone: 86057187783777
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.