NCT04978480Completed
STROKE STAT (Stroke Severity-based Triage to Accelerate Treatment)
Trauma Communications Center Coordinated Severity-Based Stroke Triage
Source: ClinicalTrials.gov · Last updated 30 Oct 2026
Brief summary (registry, in English)
Acute stroke systems of care should emulate trauma systems which deliver the full range of care to all injured patients by means of organized, coordinated efforts in defined geographic areas. Just as trauma systems have proven ability to save lives of the most severely injured patients, clinicians should have a stroke system able to provide care to patients with the most severe strokes. The most severe type of acute ischemic stroke is due to proximal large vessel occlusion (LVO). Mechanical thrombectomy (MT) offers an extraordinary potential to improve the outcome of patients with LVO. Unfortunately, in part because MT is available only at advanced stroke centers, only a minority of patients with LVO are treated with MT, and there are racial, socioeconomic, and rural disparities in access to MT. Based on the success of trauma systems and our prior collaboration, the Alabama Department of Public Health (ADPH) is planning a five-year statewide quality improvement initiative of trauma communications center (TCC) coordinated severity-based stroke triage (SBST) which aims to transform the fragmented acute stroke care system by coordinating prehospital and inter-facility emergency stroke care.
- Status (registry)
- Completed
- Study type
- Observational
- Enrollment
- 4893 (actual)
- First submitted
- 6 Jul 2021
- Start date
- 29 Apr 2022
- Primary completion date
- 31 May 2026
- Lead sponsor
- University of Alabama at Birmingham
- Diseases
- Stroke
- NCT number
- NCT04978480
What you commit to
- Study type: Observational
- Participants enrolled: 4893
- From 29 Apr 2022 to the primary completion date, 31 May 2026
- 1 site in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other
- Patients who respond only to pain or who are unresponsive at the time of EMS evaluation based on the Alert, responds to Voice, responds to Pain and Unresponsive (AVPU) Scale
- Patients with last known well time \> 24 hours at the time of EMS evaluation
Who the study is looking for
- Patients entered into the Alabama stroke system by EMS
- Suspected Large-Vessel Occlusion (score ≥ 4) based on a validated 6 item stroke severity scale, the Emergency Medical Stroke Assessment (EMSA)
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (1)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| University of Alabama at Birmingham Coordinator of this site? Confirm its status | Birmingham | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.