ACTRN12621000380897已完成未知
Transdisciplinary stroke assessment: Can it improve allied health efficiency and care for patients admitting with TIA or stroke on an acute stroke unit?
适应症
试验速览
- 阶段
- 未知
- 状态
- 已完成
- 入组人数
- 186
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
- 分配方式
- Non-randomised trial
- 主要目的
- Treatment
- 盲法
- Open (masking not used)
入排标准
- 年龄范围
- 18 Years 至 o limit（—）
- 性别
- All
入选标准
- •PHASES 1 & 2:
- •Patient eligibility will be determined via the following inclusion criteria:
- •Consenting patients admitted to the Mater Hospital Brisbane Acute Stroke Unit (Neurosciences Ward) Level 8, Salmon Building during the study periods
- •Consenting patients placed on the Mater stroke pathway (i.e., those who have ‘blanket’ allied health referral as per usual care) who present with: Transient Ischaemic Attack (TIA); Possible stroke and who have not received a diagnosis via the MRI report within 24-48 hours of admission; Minor neurological signs/symptoms as determined by a review of the chart notes by the ward occupational therapist or physiotherapist (i.e., patients limb strength above grade 3/5 classification, and/or without visuospatial or sensorimotor neglect, and/or without severe aphasia, and/or who are able to follow 1 stage commands).
- •Additional patient inclusion criterion for evaluation of novel TINSA:
- •Patients who have provided consent and have a Montreal Cognitive Assessment (MoCA) score of greater than or equal to 19/30 (i.e. intact cognition and recall processes) will be asked to complete the patient satisfaction survey and follow up phone call.
- •PHASES 3 & 4:
- •Patient eligibility will be determined via the following inclusion criteria:
- •Consenting patients admitted to the Mater Hospital Brisbane Acute Stroke Unit (Neurosciences Ward) Level 8, Salmon Building during the study periods
- •Consenting patients placed on the Mater stroke pathway (i.e., those who have ‘blanket’ allied health referral as per usual care) who present with possible (i.e., have not received a diagnosis via the MRI report within 24-48 hours of admission) or confirmed stroke with moderate to severe neurological signs/symptoms as determined by a review of the chart notes by the ward occupational therapist or physiotherapist. I.e., patients with limb strength below grade 3/5 classification, and/or with visuospatial or sensorimotor neglect, and/or with severe aphasia, and/or who are not able to follow 1 stage commands.
- •STAFF INCLUSION CRITERIA:
- •All consenting Mater staff (nursing, medical and allied health) and Active Rehabilitation staff working in and caring for patients with stroke in the ASU under the transdisciplinary model of assessment.
排除标准
- •Patient exclusion criteria (all phases):
- •Patients who are admitted to the Acute Stroke Unit over a weekend (Saturday and Sunday) or on a public holiday.
- •Patients with stroke who are not transferred to the Acute Stroke Unit.
- •Patients with stroke who received allied health initial assessment before transfer to the Acute Stroke Unit and/or placed on the stroke pathway.
- •Patients who do not speak English where a third-party professional interpreter is unavailable to assist with translation.
- •Patients who have already been included in the study at an earlier time point (i.e., have been readmitted).
研究者
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