Telestroke Triage in Suspected Stroke Patients

Sponsor
NyikaKruyt
Study ID
NCT07657117
Status
Not Yet Recruiting

Notify me when recruiting opens

Save your spot on the interest list for this study. We'll keep your details with this study so our team can follow up when recruiting opens.

Not yet recruiting

Add your contact details and location so we can keep your interest tied to this study.

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Telestroke triage — OTHER
    Live tele-neurologist consultation via the SMART Triage platform during ambulance assessment of suspected stroke.
  • Standard Care (in control arm) — OTHER
    Usual prehospital stroke triage according to RAV Hollands Midden protocols without telestroke consultation.

Study Details

The ASTRAL trial is a randomized study in patients with suspected stroke in the ambulance setting. The study evaluates whether prehospital telestroke consultation, in addition to standard care, can reduce unnecessary stroke code activations and improve patient triage, treatment efficiency, and resource use. Participants are randomized to telestroke triage plus standard care or standard care alone. Outcomes include unnecessary stroke code activation, patient allocation, treatment times, functional outcome, safety, and cost-effectiveness.

Key Dates

First listed
Jun 18, 2026
Start date
Aug 1, 2026
Status verified
Jun 2026
Primary completion
Dec 1, 2027
Completion
Dec 1, 2027

Study Design

Enrollment
484 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Telestroke Triage + Standard Care
    Ambulance professionals receive real-time neurologist consultation via the SMART Triage platform in addition to standard prehospital stroke care.
  • Active Comparator: Standard Care
    RAV Hollands Midden triage protocol without telestroke consultation.

Primary Outcome Measure

Appropriate Patient Allocation [ Time Frame: Immediately after the prehospital triage decision ]

Central Contacts

Find similar trials

Nationwide
Stroke trialsNeurology trialsBrain disorders trials

Related Studies