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December 8, 2025Frontiers in NeurologyOpen Access

Evaluation of the prehospital diagnostic accuracy of a novel point-of-care test for NT-proBNP, D-dimer and H-FABP and large-vessel occlusion risk assessment (LVOCheck-EVA): a protocol for a multicenter prospective observational study in patients suspected of having a stroke

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Key result

This study protocol outlines a planned observational trial to evaluate the diagnostic accuracy of the LVOCheck point-of-care biomarker test for prehospital prediction of large-vessel occlusion in suspected stroke patients.

Why the study?

Prehospital identification of large-vessel occlusion stroke could streamline transport directly to thrombectomy-capable centers, and blood biomarkers measured via point-of-care testing offer a potentially cost-effective alternative to mobile stroke units.

Does the LVOCheck point-of-care test accurately predict large-vessel occlusion in patients with suspected stroke in a prehospital setting?

Population

800 patients with suspected stroke enrolled within 24 h after symptom onset

Comparison

LVOCheck point-of-care test predictive performance vs final diagnoses

Design

Multicenter prospective observational study

Authors

KRKian RöhrsHumboldt-Universität zu BerlinMKMaximilian KaffesHumboldt-Universität zu BerlinFBFulvio BondiHumboldt-Universität zu Berlin

Discussion

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Implication

This study protocol describes a prospective observational trial to evaluate the diagnostic accuracy of a novel prehospital point-of-care biomarker test for identifying large-vessel occlusion in suspected stroke patients.

Study Design

Type

Observational (n=800)

Multicenter

Yes

Structured PICO

Does the LVOCheck point-of-care test accurately predict large-vessel occlusion in patients with suspected stroke in a prehospital setting?

P
Population
A planned multicenter prospective observational study of 800 adult patients with suspected acute stroke within 24 hours of symptom onset to evaluate a prehospital point-of-care biomarker test.
E
Exposure
LVOCheck device, a multiplex point-of-care test measuring NT-proBNP, D-Dimer, and H-FABP from whole-blood, integrated with patient-specific clinical data via a Mobile App to predict large-vessel occlusion (LVO) risk.
C
Comparator
Standard clinical information alone / gold-standard final hospital diagnosis.
O
Outcome
Diagnostic accuracy (sensitivity and specificity) of LVOCheck to predict LVO probability, evaluated against the gold-standard final hospital diagnosis.surrogate

This study protocol describes a prospective observational trial to evaluate the diagnostic accuracy of a novel prehospital point-of-care biomarker test for identifying large-vessel occlusion in suspected stroke patients.

Limitations

  • The biomarker panel has limited ability to differentiate ischemia from intracerebral hemorrhage

Cite This Study

Röhrs et al. (2025) conducted an observational in Suspected acute stroke (n=800). LVOCheck point-of-care test vs. Final hospital diagnosis was evaluated on Diagnostic accuracy (sensitivity and specificity) for predicting large-vessel occlusion. This study protocol outlines a planned observational trial to evaluate the diagnostic accuracy of the LVOCheck point-of-care biomarker test for prehospital prediction of large-vessel occlusion in suspected stroke patients.

synapsesocial.com/papers/6a65797e66784dc805f71b80https://doi.org/10.3389/fneur.2025.1697711
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Early Biomarkers of Stroke2003 · 239 citations
  2. 2N-Terminal Pro-Brain Natriuretic Peptide Levels Are Elevated in Patients with Acute Ischemic Stroke2005 · 71 citations
  3. 3Fatty Acid Binding Protein as a Serum Marker for the Early Diagnosis of Stroke2003 · 145 citations
  4. 4Prehospital Stroke Management Optimized by Use of Clinical Scoring vs Mobile Stroke Unit for Triage of Patients With Stroke2019 · 108 citations
  5. 5European Stroke Organisation (ESO) – European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischaemic StrokeEndorsed by Stroke Alliance for Europe (SAFE)2019 · 589 citations