Evidence map›Paper›PMID 36262832›Full record

ArticleFrontiers in neurology2022

ELECTRA-STROKE: Electroencephalography controlled triage in the ambulance for acute ischemic stroke-Study protocol for a diagnostic trial.

Maritta N van Stigt, Anita A G A van de Munckhof, Laura C C van Meenen, Eva A Groenendijk, Monique Theunissen, Gaby Franschman, Martin D Smeekes, Joffry A F van Grondelle, Geertje Geuzebroek, Arjen Siegers and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03699397 (EEG Controlled Triage in the Ambulance for Acute Ischemic Stroke), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03699397 nacompletednot on this map

EEG Controlled Triage in the Ambulance for Acute Ischemic Stroke

TypeinterventionalSponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)Ran2018 to 2023Enrolled386ConditionsStroke, IschemicArmsDry electrode EEG
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Maritta N van StigtDepartment of Clinical Neurophysiology, Amsterdam University Medical Centers (UMC) Location University of Amsterdam, Amsterdam, Netherlands.
Anita A G A van de MunckhofDepartment of Clinical Neurophysiology, Amsterdam University Medical Centers (UMC) Location University of Amsterdam, Amsterdam, Netherlands.
Laura C C van MeenenDepartment of Neurology, Amsterdam UMC Location University of Amsterdam, Amsterdam, Netherlands.
Eva A GroenendijkDepartment of Clinical Neurophysiology, Amsterdam University Medical Centers (UMC) Location University of Amsterdam, Amsterdam, Netherlands.
Monique TheunissenWitte Kruis Ambulancezorg, Alkmaar, Netherlands.
Gaby FranschmanWitte Kruis Ambulancezorg, Alkmaar, Netherlands.
Martin D SmeekesAmbulancezorg Nederland, Zwolle, Netherlands.
Joffry A F van GrondelleAmbulance Amsterdam, Amsterdam, Netherlands.
Geertje GeuzebroekAmbulance Amsterdam, Amsterdam, Netherlands.
Arjen SiegersAmbulance Amsterdam, Amsterdam, Netherlands.
Henk A MarqueringDepartment of Biomedical Engineering and Physics, Amsterdam UMC Location University of Amsterdam, Amsterdam, Netherlands.
Charles B L M MajoieDepartment of Radiology and Nuclear Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, Netherlands.
Yvo B W E M RoosDepartment of Neurology, Amsterdam UMC Location University of Amsterdam, Amsterdam, Netherlands.
Johannes H T M KoelmanDepartment of Clinical Neurophysiology, Amsterdam University Medical Centers (UMC) Location University of Amsterdam, Amsterdam, Netherlands.
Wouter V PottersDepartment of Clinical Neurophysiology, Amsterdam University Medical Centers (UMC) Location University of Amsterdam, Amsterdam, Netherlands.
Jonathan M CoutinhoDepartment of Neurology, Amsterdam UMC Location University of Amsterdam, Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Endovascular thrombectomy (EVT) is the standard treatment for large vessel occlusion stroke of the anterior circulation (LVO-a stroke). Approximately half of EVT-eligible patients are initially presented to hospitals that do not offer EVT. Subsequent inter-hospital transfer delays treatment, which negatively affects patients' prognosis. Prehospital identification of patients with LVO-a stroke would allow direct transportation of these patients to an EVT-capable center. Electroencephalography (EEG) may be suitable for this purpose because of its sensitivity to cerebral ischemia. The hypothesis of ELECTRA-STROKE is that dry electrode EEG is feasible for prehospital detection of LVO-a stroke. Methods: ELECTRA-STROKE is an investigator-initiated, diagnostic study. EEG recordings will be performed in patients with a suspected stroke in the ambulance. The primary endpoint is the diagnostic accuracy of the theta/alpha ratio for the diagnosis of LVO-a stroke, expressed by the area under the receiver operating characteristic (ROC) curve. EEG recordings will be performed in 386 patients. Discussion: If EEG can be used to identify LVO-a stroke patients with sufficiently high diagnostic accuracy, it may enable direct routing of these patients to an EVT-capable center, thereby reducing time-to-treatment and improving patient outcomes. Clinical trial registration: ClinicalTrials.gov, identifier: NCT03699397.

Indexed as

acute ischemic strokediagnostic methodEEGlarge vessel occlusionprehospital triage

Identifiers

PMID36262832
PMCPMC9576201

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.