Acute Stroke: Prehospital Versus In-HospitAL Initiation of Recanalization Therapy- ASPHALT

This study is particularly looking for adults in France who are experiencing a suspected acute stroke. You would typically be considered if you called emergency services (like SAMU or BSPP in Paris) between 8 AM and 6 PM on a weekday, and your symptoms started within the last six hours. You would also need to be in an area where the Mobile Stroke Unit can reach you and be available at the time of your emergency call.

However, some things might mean you can't join the study. For example, if you spend most of your waking hours needing help, or if the exact time your stroke symptoms started is unknown (like if you woke up with symptoms). People with a history of epilepsy, recent seizures, or who are pregnant or breastfeeding are also usually not included. If you're involved in another study that could affect your recovery at three months, or if you're under legal guardianship, you wouldn't be able to participate. You also need to be part of the French Social Security system.

If you are considered for this study, you might be randomly chosen to either receive care from a Mobile Stroke Unit at your location or to receive standard care, meaning you'd be taken directly to the hospital for treatment. The decision about which type of care you receive is made randomly, like flipping a coin. You will be asked for your consent to take part either when the Mobile Stroke Unit arrives (if you're in that group) or when you reach the hospital (if you're in the standard care group).

Researchers will then closely follow your recovery for a period of three months. During this time, they will collect information about your health and how well you are recovering. There are no extra hospital visits or treatments specifically for the study itself beyond your usual medical care, but your progress and costs related to your care will be carefully tracked.