Telestroke Triage in Suspected Stroke Patients

Starting soon · Not applicable

Conditions studied: Stroke

In brief

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 facts

Study ID

NCT07657117

Run by

NyikaKruyt

People needed

484

Starts

2026-08-01

Expected to finish

2027-12-01

Last updated by the study team

2026-06-23

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age 18 years or older
• Stroke code activation by ambulance professional during office hours
• Symptom onset < 24 hours or uncertain onset
• The patient is deemed capable of understanding the study information and making a decision about participation/opt-out

You may not qualify if…

• Age under 18 years

Where it is running

• Leiden University Medical Center — Leiden, South Holland, Netherlands

Full record on ClinicalTrials.gov

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