Hospital Implementation of a Stroke Protocol for Emergency Evaluation and Disposition
Sponsored by University of Chicago
About this study
Most stroke patients are initially evaluated at the closest hospital but some need to be transferred to a hospital that can provide more advanced care. The "Door-In-Door-Out" (DIDO) process at the first hospital can take time making transferred patients no longer able to get the advanced treatments. This study will help hospitals across the US "stand up" new ways to evaluate stroke patients, decide who needs to be transferred, and transfer them quickly for advanced treatment.
Nearly 800,000 people in the United States (US) each year experience acute stroke, which remains the leading cause of adult disability and 5th leading cause of death. Despite the proliferation of stroke centers nationwide, almost half of the US population lives beyond a 60-minute drive of a comprehensive stroke center (CSC) and many patients require inter-hospital transfer (IHT) from a non-CSC to a CSC. Building upon prior work to reduce door-in-door-out (DIDO) time at referring hospitals, this proposal entitled "Hospital Implementation of a Stroke Protocol for Emergency Evaluation and Disposition (HI-SPEED)" study seeks to (1) implement a novel, evidence-based, multi-component DIDO intervention in eight diverse stroke systems of care across multiple regions of the US and (2) conduct a dua…
Where this study is enrolling (8)
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Yale New Haven Hospital
New Haven, Connecticut
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Jackson Memorial Hospital
Miami, Florida
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Emory University Hospital
Atlanta, Georgia
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UChicago Medicine Ingalls Memorial Hospital
Chicago, Illinois
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University of Michigan Hospital
Ann Arbor, Michigan
Show all 8 locations
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New York Presbyterian - Weill Cornell Hospital
New York, New York
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University of Cincinnati Medical Center
Cincinnati, Ohio
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University of Utah Health
Salt Lake City, Utah
Who can participate
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
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Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you qualify to participate. These results are based on the information you provide and are intended to help you start a conversation with the research team.
Trial data sourced from ClinicalTrials.gov.