Validation of Clinical Decision Support Tool for Acute Stroke Diagnosis (InstaDx)
Validation of Clinical Decision Support Tool Information Technology Application for Stroke Diagnosis
研究概览
地位
条件
详细说明
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.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Karachi、巴基斯坦、74800
- Aga Khan University
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
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
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
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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 |
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Validation_Primary Outcome Measure_ Sensitivity
大体时间：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
大体时间：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
大体时间：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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Acceptability
大体时间：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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其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Implementation Characteristics
大体时间：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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合作者和调查者
调查人员
- 首席研究员：Ayeesha K Kamal、AKUH
- 首席研究员：Saadia S Choudhry、AKUH
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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