Advanced Mobile Stroke Unit for Pre-hospital Emergency Management
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 836
- 试验地点
- 1
- 主要终点
- Number of patients requiring hospital attendance within 4h of acute emergency situation
研究概览
简要总结
Emergency department overcrowding is a major challenge in medicine, leading to a delay in diagnosis and treatment for the patient due to long waiting times. This is very relevant for diseases like acute stroke and other emergencies. The Advanced Mobile Stroke Unit is an ambulance equipped with additional devices to diagnose and treat patients at the emergency site. Patients with less severe conditions can be diagnosed and safely left at home. The objectives of this project are to investigate whether the Advanced Mobile Stroke Unit compared to a normal ambulance enables more accurate triage of patients (treatment at home vs hospital vs specialist vs A&E). The Advanced Mobile Stroke Unit ambulance will be used in a random order of weeks and this will be compared to weeks with normal ambulances. The study will be carried out by the East of England Ambulance Service NHS Trust in collaboration with the East Suffolk and North Essex NHS Foundation Trust in the East of England. The project is a collaboration with Saarland University, Germany,
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •acute emergency patients 18 years or older, who are identified via the national emergency telephone number 999 or 111with suspected severe medical emergency condition, which is categorised as: breathing problem, seizure, falls with head trauma, headache, sick person with suspected infection, stroke, unconsciousness
- •calls Monday to Friday 9am to 5 pm
- •written informed consent
排除标准
- •terminally ill patients
- •pregnant patients
- •patients in cardiac arrest
- •patients in custody of Her Majesty's prison service
结局指标
主要结局
Number of patients requiring hospital attendance within 4h of acute emergency situation
时间窗: acute emergency situation (4 hours)
Patient attendance at hospital related to the emergency call (within 4hours) will be assessed
次要结局
- Emergency management metrics(acute emergency situation (within 4 hours after call))
- Clinical Outcome on day 90(90 days)
研究者
Daniel Phillips
Clinical Lead
East of England Ambulance Service NHS Trust