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Strokecopilot - New patient

(Version August 2023. For research use only. Do not use for healthcare purpose.)

Delay :

Current Datetime observation (computed as the time of the contextualization run): None

If precise onset:

Time of symptoms onset: (HH:MM)

If unsure:

Time last known well: (HH:MM)
Time first known symptomatic: (HH:MM)

General Health status :

Age (years):

(e.g., short life expectancy, poor functional autonomy,...)

Organs at risk of bleeding :

Brain:

(e.g., brain neoplasm except small meningiomas, recent cerebrovascular intervention or neurosurgery, past intracranial haemorrhage, recent stroke, recent severe head trauma)

Other organs:

(e.g., recent bleeding or delivery, recent heart massage or myocardial infarction or cardiac percutaneous intervention, recent major surgery or major trauma, GI ulcer, neoplasm at risk, pancreatitis, pericarditis)

Vessel wall :

Blood pressure:

Systolic (mmHg):
Diastolic (mmHg):

Vessel wall comorbidities:

(e.g., extracranial aneurysm, arterial-venous malformations, oesophageal varices, recent puncture of a non-compressible vessel, amyloïd angiopathy)

Intracranial aneurysms are recorded in the imaging section.

Hemostasis :

Anticoagulants (exposure during the last 48h or unsure):

(dabigatran, rivaroxaban, apixaban)

Biology:

PTT ratio:
INR:
anti-Xa (U/mL):
Platelets (Giga/L):

Haemorrhagic diathesis (congenital or acquired):

(e.g., hemophilia, liver failure)

Other iatrogenic risk :

Hypersensitivity:

(rashs are tolerated)

Kidney function:

Kidney failure: blood creatinin > 265 µmol/L or GFR < 30 ml/min/1,73 m2

Stroke symptoms :

NIHSS:

Imaging :

Brain parenchyma:

Diffusion (or non-contrast CT and CT perfusion):
Infarction core shape and massiveness:

If volumetry is available:

Infarction core volume (mL):

FLAIR (or non-contrast CT):

SWI (or non-contrast CT):
Microbleeds :

Intracranial vessels:

FLAIR:

SWI:

Visible Thrombus (if several: the most proximal one):

Circulation:
Vessel:
Portion:
Segment:
Subsegment:

TOF (or CT angiography):

Occlusion (if several: the most accessible to ET):

Circulation:
Vessel:
Portion:
Segment:
Subsegment:

Occlusion equivalences:

Bilateral V4 --> Basilar artery (inferior third)

Double M2 --> M1 distal

(anterior + posterior or anterior bilateral)

Perfusion (MRI or CT, if available):
Missmatch volume (mL):
Missmatch ratio:

Overall interpretation:

Cervical vessels:

On ET path:

Run analysis

In guidelines
In literature
Outside literature references

Possible reperfusion (IVT and/or ET)

Intravenous thrombolysis (IVT)

Endovascular treatment (ET)

Matching IVT Guidelines (None/None):

Matching ET Guidelines (None/None):

Matching IVT Expert Consensus (/):

Matching ET Expert Consensus (/):

Matching IVT RCTs (None/None):

Matching ET RCTs (None/None):