Implementation of pre-hospital emergency pathway for stroke - a cluster randomised trial

Conditions

Suspected stroke in pre-hospital and emergency Circulatory System Stroke

De Luca A, Toni D, Lauria L, Sacchetti ML, Giorgi Rossi P, Ferri M, Puca E, Prencipe M, Guasticchi G, IMPLementazione Percorso Clinico Assistenziale ICtus Acuto (IMPLICA) Study Group.

2009-01-2131 citations

10.1186/1472-6963-9-14

A cluster randomized controlled trial of a clinical pathway for hospital treatment of heart failure: study design and population.

Panella M, Marchisio S, Gardini A, Di Stanislao F.

2007-11-0722 citations

10.1186/1472-6963-7-179

Does a pre-hospital emergency pathway improve early diagnosis and referral in suspected stroke patients?--Study protocol of a cluster randomised trial [ISRCTN41456865].

Ferri M, De Luca A, Giorgi Rossi P, Lori G, Guasticchi G.

2005-10-115 citations

10.1186/1472-6963-5-66

Interventions

The professionals working in the Emergency Medical Services will be randomised to receive training on the evidence-based critical pathway for stroke or to current practice

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Participants included are all the professionals working in the Emergency Medical Services dealing with patients with suspected stroke

Exclusion criteria

Exclusion criteria: Not provided at time of registration

Design outcomes

Primary

Measure	Time frame
Added as of 14/03/2008: Proportion of patients with a positive CT for ischaemic stroke and symptoms onset <= 6 hour admitted to the stroke unit	—

Secondary

Measure	Time frame
Added as of 14/03/2008: 1. Proportion of patients with a positive CT for hemorrhagic stroke and symptoms onset 6 hour admitted to the nearest hospital 3. Proportion of ICD9CM code for stroke in emergency setting confirmed in the hospital discharge data 4. Proportion of patients with stroke confirmed by CT results 5. Proportion of patients with ischaemic stroke receiving treatment within 6 hour of symptoms onset	—

Measure

Time frame

Added as of 14/03/2008: 1. Proportion of patients with a positive CT for hemorrhagic stroke and symptoms onset 6 hour admitted to the nearest hospital 3. Proportion of ICD9CM code for stroke in emergency setting confirmed in the hospital discharge data 4. Proportion of patients with stroke confirmed by CT results 5. Proportion of patients with ischaemic stroke receiving treatment within 6 hour of symptoms onset

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Countries

Italy

Outcome results

None listed