Validation of Clinical Decision Support Tool for Acute Stroke Diagnosis (InstaDx)
Validation of Clinical Decision Support Tool Information Technology Application for Stroke Diagnosis
연구 개요
상태
정황
상세 설명
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.
연구 유형
등록 (실제)
연락처 및 위치
연구 장소
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Karachi, 파키스탄, 74800
- Aga Khan University
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
샘플링 방법
연구 인구
설명
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
코호트 및 개입
그룹/코호트 |
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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 |
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Validation_Primary Outcome Measure_ Sensitivity
기간: 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
기간: 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
기간: 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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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Acceptability
기간: 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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기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Implementation Characteristics
기간: 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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공동 작업자 및 조사자
수사관
- 수석 연구원: Ayeesha K Kamal, AKUH
- 수석 연구원: Saadia S Choudhry, AKUH
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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