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RECRUITING
NCT07530588
NA

Decentralized Imaging by REmote Computer Tomography for Cerebral Infarct Thrombolysis

Sponsor: University Hospital of North Norway

View on ClinicalTrials.gov

Summary

The DIRECT-CT trial is designed to test the hypothesis that remote controlled CT scanning combined with real time audio-and video conference (AVC) guided assessment from an experienced hospital stroke team (tele-stroke) at decentralized medical centers (DMC) reduces time to intravenous thrombolytic treatment compared to the standard pathway.

Official title: Remote Controlled CT Scanning for Decentralized Diagnostics and Treatment Versus Standard Care in Acute Stroke

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

52

Start Date

2025-07-17

Completion Date

2028-12-31

Last Updated

2026-04-15

Healthy Volunteers

No

Conditions

Interventions

OTHER

Decentralized diagnostics and treatment

The intervention includes admittance to the DMC for initial diagnostic work up and acute treatment (if indicated). Paramedics examine the patient and assess stroke severity by NIHSS and G-FAST scoring overseen by a stroke physician at the local hospital through real time video conference. A remote controlled CT scan of the head is conducted, and the stroke team at the local hospital evaluates results and makes a treatment decision in real-time AVC. If treatment is indicated, this is administered by local personnel at the DMC before initiating transport to the local hospital or the comprehensive stroke center in case of LVO. Patients who are unable to reach the DMC prior to estimated admission time at their local hospital, will be treated at their local hospital as per standard pathway.

Locations (2)

Helgelandssykehuset Health Trust

Sandnessjøen, Norway

University Hospital of North Norway Health Trust

Tromsø, Norway