Reducing the Burden of Injury in India and Australia Through Development and Piloting of Improved Systems of Care - Prehospital Notification and Structured Handover on Hospital Arrival
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 500
- 试验地点
- 4
- 主要终点
- Pre-hospital notification
研究概览
简要总结
A prospective observational study using an interrupted time-series design to evaluate the effect of pre-hospital notification on trauma patients arriving at a trauma centre by ambulance, in India
详细描述
This is a longitudinal prospective cohort study of injured patients being transported by ambulance to the major trauma centre study sites. In the pre-intervention phase, prospective data on patients will be collected on pre-hospital assessment, notification, in-hospital assessment, management and outcomes and recorded in a new tailored multi-hospital trauma registry. All injured patients arriving by ambulance and allocated to a red or yellow priority category will be eligible for inclusion. The intervention will be a pre-hospital notification application in the form of an Android program that will be used by ambulance clinicians to notify emergency departments of selected hospitals of an impending arrival of a patient. The application will use a simple algorithm based on trauma triage principles developed by the Australia-India Trauma System Collaboration (AITSC). The proportion of severely injured patients arriving to hospital after notification will be the primary outcome measure with a target of 70%. Secondary outcomes evaluated will be availability of a trauma cubicle, presence of a trauma team on patient arrival, time to first chest x-ray and in-hospital mortality.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
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
- •All injured patients arriving by ambulance and allocated to a red (1st) or yellow (2nd) priority category will be eligible for inclusion. Data will be collected prospectively by trained data collectors positioned in the trauma centres.
- •Retrospective inclusion will be continued for all screened patients presenting to any of the included hospitals with injury (including near-drowning) as the primary diagnosis and with at least one of the following criteria:
- •Admission to hospital
- •Death after triage but before admission
- •Dead on arrival
- •Exclusion criteria: Patients meeting screening criteria will be subsequently excluded if they meet any of the following criteria:
- •Dead at scene
- •Alive at triage but not admitted to hospital (discharged alive)
- •Isolated poisoning
- •Isolated burns
- •Single digit finger or toe amputations (unless of the thumb or great toe), only
排除标准
- 未提供
结局指标
主要结局
Pre-hospital notification
时间窗: 1 - 1.5 years
Prior to arrival at emergency department. Pre-hospital notification will be the primary outcome, defined as a phone call or message to a treating hospital clinician regarding an injured patient enroute to hospital. For the purpose of this research project, a patient will satisfy primary outcome criteria if pre-hospital notification with any information has occurred. This variable will be collected and analysed as a binary variable.
次要结局
- Time to first chest x-ray(1 - 1.5 years)
- Location of patient discharge(1 - 1.5 years)
- Readiness of trauma bay(1 - 1.5 years)
- Trauma Call out(1 - 1.5 years)
- In-hospital death(1 - 1.5 years)
- Presence of trauma team leader(1 - 1.5 years)
研究者
Teresa Howard
Research Manager
National Trauma Research Institute