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Telestroke Triage in Suspected Stroke Patients
Sponsor: NyikaKruyt
Summary
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.
Official title: Ambulance Stroke Triage Assisted by Telemedicine (ASTRAL) Trial.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
484
Start Date
2026-08-01
Completion Date
2027-12-01
Last Updated
2026-06-18
Healthy Volunteers
No
Conditions
Interventions
Telestroke triage
Live tele-neurologist consultation via the SMART Triage platform during ambulance assessment of suspected stroke.
Standard Care (in control arm)
Usual prehospital stroke triage according to RAV Hollands Midden protocols without telestroke consultation.
Locations (1)
Leiden University Medical Center
Leiden, South Holland, Netherlands