Validation of Clinical Decision Support Tool for Acute Stroke Diagnosis (InstaDx)
Validation of Clinical Decision Support Tool Information Technology Application for Stroke Diagnosis
調査の概要
状態
条件
詳細な説明
Overall Objective: To adapt, develop and validate the clinical decision support tool, an information technology application to assist acute stroke diagnosis for use among neurology graduate trainees compared to stroke expert (gold standard).
Specific Aims:
1. To validate the adapted clinical decision support tool, an information technology application to assist acute ischemic stroke diagnosis for use among neurology residents compared to stroke expert (Gold standard) in the adult population presenting at a tertiary care hospital in Pakistan.
The study will be conducted in Emergency department and the Neurology ward at Aga Khan University Hospital. The data collector will enroll the patients meeting the eligibility criteria and providing informed consent. Neurology residents will use the Clinical Decision Support Tool application to assist in acute stroke diagnosis. In the second part, the Stroke Expert will independently assess all diagnosis. The purpose of this would be to validate the Clinical Decision Support Tool application to assist in acute stroke diagnosis.
研究の種類
入学 (実際)
連絡先と場所
研究場所
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Karachi、パキスタン、74800
- Aga Khan University
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Adult men and women, >18 years of age.
- Patients admitted with neurological deficit consistent with stroke.
- Confirmation of stroke by objective modality of CT scan and MRI.
- Consenting to participate in the study.
Exclusion Criteria:
- Patients presenting with any type of Haemorrhagic stroke such as Sub-Arachnoid Haemorrhage, Intracerebral Haemorrhage and others.
- Stroke due to any iatrogenic causes such as post-surgeries, trauma, or any rare or non atherosclerotic causes eg carotid dissection.
- Patients signing LAMA (left against Medical Advice) and leaving undiagnosed
研究計画
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
|---|
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Pakistani adult
Men and women aged 18 years or above,presenting with neurological deficit consistent with stroke in the Emergency Department at Aga Khan University Hospital Consenting to participate in the study |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Validation_Primary Outcome Measure_ Sensitivity
時間枠：Day 1
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Sensitivity of InstaDx used by Neurology Residents vs. Diagnosis by Stroke Expert
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Day 1
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Validation_ Primary Outcome Measure_Specificity
時間枠：Day 1
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Specificity of InstaDx used by Neurology Residents vs. Diagnosis by Stroke Expert
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Day 1
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Validation_Primary Outcome Measure_Positive and Negative Predictive Values
時間枠：Day 1
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Predictive Value of InstaDx used by Neurology Residents vs. Diagnosis by Stroke Expert
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Day 1
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Acceptability
時間枠：Day 1
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Qualitative assessments by focus group discussion will be performed to incorporate user feedback
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Day 1
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その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Implementation Characteristics
時間枠：Day 1
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Qualitative assessments by focus group discussion will be performed to evaluate the user feedback to further improve the uptake of the tool.
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Day 1
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協力者と研究者
スポンサー
捜査官
- 主任研究者：Ayeesha K Kamal、AKUH
- 主任研究者：Saadia S Choudhry、AKUH
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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