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PubMed
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Stroke Interventions in Clinical Trials
Printable Version
STARR
Stroke Telemedicine for Arizona Rural Residents Trial



Principal Investigator
Bart M. Demaerschalk, M.D. & Bentley J. Bobrow, M.D.

PI Address
Bart M. Demaerschalk, M.D.
Phone: 480-342-3370 Email: demaerschalk.bart@mayo.edu
Mayo Clinic Arizona
Bentley J. Bobrow, M.D.
Mayo Clinic Arizona


Contact Address
Dwight Channer

Contact Email
channer.dwight@mayo.edu

Sponsor



Study Size Actual:118
Study Size Planned:500
Centers Actual:5
Centers Planned:4
Max Time from onset:12 Hours
Min Age:18
Follow-up Duration:90 Days
ISRCTN#NCT00829361
Status:
This study is currently recruiting participants.

Purpose:
To establish a system for the prospective collection, recording, and regular analysis of telestroke patient consultation and care data for the purpose of quality measure assessment and improvement and benchmarking against other national and international telestroke programs.

Interventions:
Telemedicine
Two way site independent audio/video telemedicine system with DICOM.

Location(s):
Arizona

Year Started: 2008

Design:
Interventional, Treatment, Open Label, Active Control, Single Group Assignment, Safety/Efficacy Study.

Inclusion Criteria
Patients presenting to Rural Emergency Department within 12 hours of acute stroke symptom onset.

Exclusion Criteria
Unlikely to complete study through 90-day follow-up.

Patient Involvement:
The patient or legal designate will be approached by either the spoke emergency physician investigator and/or the hub neurologist investigator (via telemedicine camera) for consent to proceed with telestroke consultation, and to acquire, store, and analyze data concerning the acute stroke care and outcome of the patient. There will be a brief 90 day follow-up phone call by the research coordinator to patient and/or family member.

Primary Outcome:
To assess the numbers of patients who receive thrombolytics and the time to treatment in patients evaluated by telemedicine.

Secondary Outcome:
To assess the functional outcomes of acute stroke subjects by Barthel index and Modified Rankin Scale; to assess the rate of intracranial hemorrhage post thrombolysis.

Comments:
Scientific Name: Stroke Telemedicine for Arizona Rural Residents Trial
Demaerschalk BM, Bobrow BJ, Raman R, Kiernan TJ, Aguilar MI, Ingall TJ, Dodick DW, Ward MP, Richemont PC, Brazdys K, Koch TC, Miley ML, Hoffman Snyder CR, Corday DA, Meyer BC. Stroke team remote evaluation using a digital observation camera in Arizona: the initial Mayo Clinic experience. Ongoing clinical trial category. Stroke 2009 Apr; 40(4) Epub 2009 Feb 16. International Stroke Conference 2009 (Abstract)

Demaerschalk BM, Bobrow BJ. Stroke team remote evaluation uses digital observation camera (STRokE DOC) randomized blinded prospective trial in Arizona: The initial Mayo Clinic experience (TIME). European Stroke Conference XVIII Stockholm, Sweden. 2009 May 26-29. (Abstract)

Source of Information:
ClinicalTrials.gov

Web Links and Publications:
The state of emergency stroke resources and care in rural Arizona: a platform for telemedicine.
Telemed J E Health 2009 Sep;15(7):691-9

Telemedicine versus telephone for remote emergency stroke consultations: a critically appraised topic.
Neurologist 2009 May;15(3):163-6

Stroke telemedicine.
Mayo Clin Proc 2009;84(1):53-64

Mayo Clinic

STARR
ClinicalTrials.gov

This information last updated on: 10/13/2009

Reviewed on: 10/13/2009.

UID: 965

   

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