Improving emergency evaluation and transfer protocols for stroke patients
Implementation of a Stroke Protocol for Emergency Evaluation and Disposition
This study is testing a new way to speed up the transfer of stroke patients to specialized hospitals to see if it helps them get better faster.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 900 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University of Chicago Academic / other |
| Locations | 7 sites (New Haven, Connecticut and 6 other locations) |
| Trial ID | NCT06094478 on ClinicalTrials.gov |
What this trial studies
This study aims to enhance the evaluation and transfer process for stroke patients who require advanced care at comprehensive stroke centers. By implementing a novel, evidence-based protocol called HI-SPEED across eight diverse stroke systems in the US, the study seeks to reduce the time it takes for patients to be transferred from non-comprehensive hospitals to those that can provide specialized treatment. The effectiveness of this intervention will be evaluated based on median transfer times and patient disability outcomes, while also assessing the quality of implementation. The study leverages interdisciplinary expertise in stroke care and aims to establish a model for widespread dissemination of improved protocols.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 18 and older who have been diagnosed with acute ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage.
Not a fit: Patients who are under 18 years old, diagnosed with transient ischemic attack, or those receiving comfort care measures may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could significantly reduce transfer times for stroke patients, leading to better treatment outcomes and reduced disability.
How similar studies have performed: Previous studies have shown success in implementing similar protocols to reduce transfer times and improve outcomes for stroke patients.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age \>=18 years * Final diagnosis: AIS, ICH, or SAH Exclusion Criteria: * Final diagnosis: TIA or stroke NOS * Age \<18 years * Comfort care measures on day 0 or 1 * Left hospital against medical advice * Enrolled in clinical trial related to stroke that is competing with this study
Where this trial is running
New Haven, Connecticut and 6 other locations
- Yale New Haven Hospital — New Haven, Connecticut, United States (Recruiting)
- Jackson Memorial Hospital — Miami, Florida, United States (Recruiting)
- Emory University Hospital — Atlanta, Georgia, United States (Recruiting)
- UChicago Medicine Ingalls Memorial Hospital — Chicago, Illinois, United States (Recruiting)
- New York Presbyterian - Weill Cornell Hospital — New York, New York, United States (Recruiting)
- University of Cincinnati Medical Center — Cincinnati, Ohio, United States (Recruiting)
- University of Utah Health — Salt Lake City, Utah, United States (Recruiting)
Study contacts
- Principal investigator: Shyam Prabhakaran, MD, MS — University of Chicago
- Study coordinator: Shyam Prabhakaran, MD, MS
- Email: shyam1@bsd.uchicago.edu
- Phone: 773-702-0080
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.