An observational study in Stroke, Acute, sponsored by Aga Khan University. Completed at 1 site in Pakistan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-01-10.
Sponsored by Aga Khan University · Observational
This is a observational validation study. The Stroke Clinical Decision Support Tool ( InstaDx) , an information technology application will be adapted and developed in accordance to evidence based clinical practice guidelines ( Level IA). Neurology Residents will be using the InstaDx CDST to improve their diagnostic accuracy and the findings will be validated against the review of a stroke subject expert. The study hypothesis is that Clinical Decision Support Tool used by neurology residents will have an agreement of >0.77 when compared to Stroke Expert (gold standard) in diagnosing type of ischemic stroke.
Overall Objective: To adapt, develop and validate the clinical decision support tool, an information technology application to assist acute stroke diagnosis for use among neurology graduate trainees compared to stroke expert (gold standard).
Specific Aims:
The study will be conducted in Emergency department and the Neurology ward at Aga Khan University Hospital. The data collector will enroll the patients meeting the eligibility criteria and providing informed consent. Neurology residents will use the Clinical Decision Support Tool application to assist in acute stroke diagnosis. In the second part, the Stroke Expert will independently assess all diagnosis. The purpose of this would be to validate the Clinical Decision Support Tool application to assist in acute stroke diagnosis.
7,283 studies on the registry are indexed under Stroke; 2,013 are open to participants now.
This study's enrollment of 210 is above the median of 160 across 1,692 observational studies indexed under Stroke.
Browse Stroke studies →Aga Khan University is the lead sponsor of 290 studies on the registry; 44 are open to participants now.
Counted across the registry records on this site, refreshed daily.
All men and women greater than or equal to 18 years of age presenting in emergency department with neurological deficit consistent with stroke, fulfilling our eligibility criteria and willing to give voluntary informed consent to participate in the study.
Exclusion Criteria:
Men and women aged 18 years or above,presenting with neurological deficit consistent with stroke in the Emergency Department at Aga Khan University Hospital Consenting to participate in the study
Validation_Primary Outcome Measure_ Sensitivity
Sensitivity of InstaDx used by Neurology Residents vs. Diagnosis by Stroke Expert
Time frame: Day 1
Validation_ Primary Outcome Measure_Specificity
Specificity of InstaDx used by Neurology Residents vs. Diagnosis by Stroke Expert
Time frame: Day 1
Validation_Primary Outcome Measure_Positive and Negative Predictive Values
Predictive Value of InstaDx used by Neurology Residents vs. Diagnosis by Stroke Expert
Time frame: Day 1
Acceptability
Qualitative assessments by focus group discussion will be performed to incorporate user feedback
Time frame: Day 1
Implementation Characteristics
Qualitative assessments by focus group discussion will be performed to evaluate the user feedback to further improve the uptake of the tool.
Time frame: Day 1
Plan to share: No — This may be shared on request only.
No publications or documents are linked to this record.
This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.
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Aga Khan University