About this trial
This study investigates whether an AI-assisted decision support tool, compared with standard care, increases the proportion of acute ischemic stroke patients receiving intravenous thrombolysis within 24 hours of symptom onset at a primary hospital in China, while also evaluating its impact on clinical outcomes, treatment timelines, and safety.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years.
Clinical diagnosis of acute ischemic stroke.
Onset time (last known well) <24 hours.
CT or MRI examination excluding intracerebral hemorrhage.
Disqualifiers
Currently participating in another interventional clinical trial related to drugs or devices.
Pregnant women.
Has received intravenous thrombolysis at another hospital.
Has completed a definitive reperfusion therapy decision at another hospital and is transferred to this hospital solely for follow-up observation or rehabilitation.
Trial design
Parallel
Treatments tested in this trial
AI-assisted thrombolysis decision support
Other interventionThe AI-assisted thrombolysis decision support tool is used by attending physicians in addition to routine stroke evaluation. After the physician enters key patient data, the system generates real-time prompts on whether the patient meets criteria for intravenous thrombolysis, recommended additional tests and risk alerts for thrombolysis. The final treatment decision remains with the treating clinician.
Treatment groups
Trial outcomes
Primary outcomes
The proportion of patients receiving intravenous thrombolysis.
Secondary outcomes
Proportion of patients with an modified Rankin Scale score (the total score ranges from 0 to 6; a higher score indicates a more severe disability) of 0-1 at 90 days
90-Day modified Rankin Scale score (the total score ranges from 0 to 6; a higher score indicates a more severe disability)
Early neurological improvement
Defined as an improvement of at least 4 points on the National Institutes of Health Stroke Scale (NIHSS, 0-42 score, a higher score indicates a more severe condition) score within 24 hours, or a score of 0.
Time from admission to intravenous thrombolysis (DNT) in patients receiving intravenous thrombolysis
Other outcomes
Proportion of symptomatic intracranial hemorrhage within 36 hours of thrombolysis
Proportion of any type of intracranial hemorrhage within 36 hours of thrombolysis
90-day all-cause mortality rate.
Sponsors and contacts
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