| Protocol ID | NCT04270513 |
| Registration Date | 2020-02-17 |
| Status | Unknown Status |
| Sponsor | Munich Municipal Hospital |
| Country | Germany |
| Industry | not industry |
| Blinding | unblinded |
| Center Type | singel-center RCT |
| Scope | national RCT |
| First Patient In | 2018-02-01 |
| Last Patient Out | 2020-04-01 |
| Publication | n |
| Gender % | ALL |
| Mean Age | 18 Years - |
NCT04270513
Flying Intervention Team for Endovascular Treatment of Acute Ischemic Stroke in Rural Areas
| Field |
GLM
glm-5.1 10185ms / 8900 tok |
CLAUDE
claude-sonnet-4-20250514 Thinking: claude-opus-4-20250514 4733ms / 10160 tok |
OPENAI
gpt-4o Thinking: o3 3495ms / 8716 tok |
Review |
|---|---|---|---|---|
| rct_type | N/A | N/A | N/A | OK |
| cancer_status | non-cancer | non-cancer | non-cancer | OK |
| non_cancer_spec | N/A | N/A | N/A | OK |
| setting_patient |
inpatient
inpatient
shaky reasoning✓ Unanimous
Initial: inpatient
|
inpatient
inpatient → inpatient
shaky reasoning✓ Unanimous
Initial: inpatient
Requery: inpatient — Patients are admitted to stroke centers (both primary and comprehensive) and remain at local stroke units for treatment, indicating they are hospitalized during the intervention period.
|
inpatient
mixed → inpatient
shaky reasoning✓ Unanimous
Initial: mixed
Requery: inpatient — Patients are initially admitted to a primary stroke center for stroke care and intervention occurs in a hospital setting, indicating an inpatient status during the intervention.
|
OK |
| setting_place | hospital | hospital | hospital | OK |
| feasibility | N/A | N/A | N/A | OK |
| intervention_pharmacologic | no | no | no | OK |
| intervention_chemo_immuno_radio | no | no | no | OK |
| intervention_complementary | no | no | no | OK |
| intervention_device |
yes
no → yes
shaky reasoning✓ Unanimous
Initial: no
Requery: yes — The endovascular treatment (thrombectomy) inherently requires the use of specialized medical devices such as stent retrievers or catheters to physically remove the blood clot and restore blood flow.
|
yes
yes → yes
shaky reasoning✓ Unanimous
Initial: yes
Requery: yes — The study involves physical medical devices used for endovascular treatment including angiography equipment and thrombectomy instruments, even though the main focus is on the delivery model via Flying Intervention Team.
|
yes
no → yes
shaky reasoning✓ Unanimous
Initial: no
Requery: yes — The study involves a physical intervention device used for endovascular treatment, namely an angiography suite where procedures are performed by the Flying Intervention Team.
|
OK |
| intervention_psychological | no | no | no | OK |
| intervention_complex | no | no | no | OK |
| intervention_acp | no | no | no | OK |
| intervention_music | no | no | no | OK |
| intervention_screening | no | no | no | OK |
| intervention_palliative | no | no | no | OK |
| intervention_education | no | no | no | OK |
| intervention_digital |
no
no
shaky reasoning✓ Unanimous
Initial: no
|
no
no → no → no
shaky reasoning✓ Unanimous
Initial: no
Requery: no — While telemedicine is used to identify stroke patients and make treatment decisions, the primary intervention being studied is the physical deployment of a Flying Intervention Team via helicopter to perform endovascular treatment, not the digital technology itself.
Thinking: no — The primary intervention is physical endovascular treatment delivered by a flying team; telemedicine is used only for candidate identification and decision support, not as the core delivery mechanism.
|
no
yes → yes → no
shaky reasoning✓ Unanimous
Initial: yes
Requery: yes — Telemedicine is central to identifying candidates for endovascular treatment.
Thinking: no — The primary intervention is the physical deployment of a flying interventional team versus patient transfer, with telemedicine only supporting triage rather than being the main treatment modality.
|
OK |
| intervention_other |
yes
yes → yes
shaky reasoning✓ Unanimous
Initial: yes
Requery: yes — The Flying Intervention Team is an organizational/logistical healthcare delivery model for deploying specialists, which does not fit the standard categories like pharmacologic, device, or chemo/immuno/radio.
|
yes
no → yes
shaky reasoning✓ Unanimous
Initial: no
Requery: yes — The intervention is an organizational/logistical service delivery model using a helicopter transport system to bring medical teams to patients, rather than a clinical treatment or procedure itself.
|
yes
yes → yes
shaky reasoning✓ Unanimous
Initial: yes
Requery: yes — The intervention involves a novel healthcare delivery model leveraging a Flying Intervention Team to perform endovascular treatment in rural stroke centers, which does not fit into the listed categories.
|
OK |
| outcome_symptom |
no
yes → no
shaky reasoning✓ Unanimous
Initial: yes
Requery: no — The trial outcomes focus on time delays, procedural times, recanalization, and clinical complications (e.g., mortality, hemorrhage) without utilizing specific validated patient-reported symptom scales.
|
no
no → no
shaky reasoning✓ Unanimous
Initial: no
Requery: no — This study focuses on procedural time delays, safety parameters, and clinical complications of stroke treatment but does not measure specific symptoms using validated symptom assessment instruments.
|
no
no → no
shaky reasoning✓ Unanimous
Initial: no
Requery: no — The trial focuses on procedural outcomes and safety parameters related to endovascular treatment in stroke patients and does not assess symptoms using validated symptom instruments.
|
OK |
| outcome_qol | no | no | no | OK |
| outcome_dignity | no | no | no | OK |
| outcome_cost |
no
yes → no
shaky reasoning✓ Unanimous
Initial: yes
Requery: no — The outcomes focus on time delays, safety, and clinical efficacy without including cost-effectiveness, healthcare utilization, or any cost framing.
|
no
no → no
shaky reasoning✓ Unanimous
Initial: no
Requery: no — This study focuses on time delays, clinical safety parameters, and procedural outcomes, without measuring costs, resource utilization, or healthcare economics.
|
no
yes → no
shaky reasoning✓ Unanimous
Initial: yes
Requery: no — The trial focuses on time delay and safety parameters without cost-effectiveness or health economic evaluation.
|
OK |
| outcome_other | yes | yes | yes | OK |
| pharmacologic_sub | N/A | N/A | N/A | OK |