Querying Stroke Unit Nursing Interventions in the Emergency Department

NCT04011514 | Unknown

• 1 other identifier: H-17035544
• Study Type: observational
• Target: 800
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to monitor if specialized stroke nurses as team partners in the ED can reduce hospital acquired infections. The study is designed as pre- post-intervention study in which specialized SU nurses partner with ED nursing staff to asses and screen stroke admissions in the ED.

Conditions

Stroke; TIA

Outcome Measures

Primary Outcomes (1)

• Incidence of infections

  Incidence of pneumonia and urinary tract infections defined by a combination of clinical symptoms and para-clinical tests.

  7 days from admission

Secondary Outcomes (7)

• 30-day mortality or recurrent cerebrovascular event

  30 days from first admission

• Rate of re-admission within 30 days

  30 days from first admission

• Number of patients with post stroke depression

  baseline and 90 days and 1 year after admission

• Level of 90-day post-stroke dependency

  baseline and 90 days from admission

• Mental health

  within 90 days from admission

Study Arms (2)

Baseline period

Usual care. Stroke patients admitted to the ED during the 3-month baseline inclusion period.

Behavioral: Dedicated stroke nurse care in ED

Intervention period

Intervention: 2 month implementation period of specialized stroke nurses allocated to ED for nurse specific treatment of stroke patients specific observations and care

Behavioral: Dedicated stroke nurse care in ED

Interventions

Dedicated stroke nurse care in ED BEHAVIORAL

A specialized SU nursing team partner with ED nursing staff for timely fulfillment of stroke quality care indicators while awationg admission to a dedicated stroke unit

Baseline period; Intervention period

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

All patients admitted with a diagnosis of acute stroke or TIA and candidate to specific stroke observation within the following 24 hours minimum. Data for all stroke/TIA patients admitted to the ED at HGH are retrieved during the 3-month baseline and a 3 month intervention observational period during admission and at regular clinical follow-up.

You may qualify if:

• patients referred to the ED at Herlev Hospital with a diagnosis of stroke or TIA from 11 Am to 7 PM
• patients fulfilling one of the following ICD-10 codes at discharge: ICH: I61, cerebral infarction; I63, unspecified: I64, TIA: G45 and a scheduled follow-up appointment at the outpatient clinic Herlev Hospital

You may not qualify if:

• Patients transferred from other hospitals or stroke units
• Patients elegible for thrombolysis or thrombectomy at time of admission

Sponsors & Collaborators

• Herlev Hospital: lead
• University of Copenhagen: collaborator

Study Sites (1)

Department of Neurology, Herlev-Gentofte Hospital

Herlev, 2730, Denmark

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Christina Kruuse, MD, DMSc

  Department of Neurology, Herlev-Gentofte Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior consultant and faculty supervisor, DMSc, Ph.D.,

Study Record Dates

• First Submitted: October 20, 2018
• First Posted: July 8, 2019
• Study Start: September 28, 2018
• Primary Completion: September 21, 2021
• Study Completion: November 1, 2021
• Last Updated: April 28, 2021

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will not share

Locations

DK (1)