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IRCT20171031037138N1 IRCT 2018-03-27 Mashhad University of Medical Sciences The effect of Stroke Triage scale (Researcher) on timing indicators and triage errors among patients with neuro sensory deficit referred to emergency department ESI Camparison of Stroke Triage scale (Researcher) and Emergency Severity Index scale (ESI) on timing indicators and triage errors among patients with neuro sensory deficit referred to emergency department 2018-01-28 anticipated 72 Complete https://irct.ir/trial/28138 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Screening, Other design features: Introduction of Triage Stroke Scale (Researcher): It has five levels. First level: Patients referred with signs of neuro-sensory deficit accompanied by a decrease in the level of consciousness that requires advanced life-saving measures. Second Level: Patients referred with symptoms of neuro-sensory deficit without loss of consciousness. The next three levels of researcher's scale are the same as the three levels of ABCD2 scale, so patients with transient ischemic attack that may not be properly diagnosed or may be undertriaged , are identified by the researcher's scale. Third level: people who score from the scoreboard ABCD2 score 6-7 will be on this level. Level 4: Individuals who score from the Scoreboard Score ABCD2 score of 4-5 will be on this level. Level 5: Individuals who score from the Scoreboard score of ABCD2 score 0-3 will be placed at this level, Randomization description: After the patient enters to the triage room, if there is a suspicion that there is a sensory impairment, using random allocation method (using SPSS software), they are divided into two groups: intervention and control, Blinding description: The Nurse using emergency severity index Scale will stay blind to the researcher's triage process and will not share the decision information. N/A stroke. Intervention 1: Intervention group: patients who are in the intervention group fall into five classes using the stroke triage scale. Intervention 2: Control group: Patients who are in the control group fall into five classes using the emergency severity index scale. No - There is not a plan to make this available Justification or reason for not sharing IPD is Because of secondery data analysis
public Seyed Reza Mazlom
َAhmad abad Avenue
mashhad Iran (Islamic Republic of) 12345678 +98 51 3859 1511 MazlomR@mums.ac.ir Mashhad University of Medical Sciences scientific Seyed Reza Mazloo
Ahmad abad Avenue
Mashhad Iran (Islamic Republic of) 656314-99817 +98 513605484 MazlomR@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Satisfied to participate in the study. If they are over 18 years old. Ability to speak Persian. Referring to the emergency department is at least one of the most common symptoms of sensory neural impairment: •Severe Headache •Weakness or paralysis on one side of the body •Sudden, severe numbness in any part of the body •Visual disturbance (sudden loss of vision) •Difficulty walking (staggering or veering) •Coordination problems in the arms and hands •Slurred speech or inability to speak 18 years no limit Both Incomplete or corrupted patient records Sending the patient to other treatment centers At the end of the study, patients that their neuro-sensory defects (diagnosed by a specialist physician) are diagnosed for reasons except central nervous system impairment are excluded from the study , and Patients who do not have an emergency file are excluded Patients who do not want to continue to participate 163.9 Cerebral infarction, unspecified Other Other Intervention group: patients who are in the intervention group fall into five classes using the stroke triage scale. Control group: Patients who are in the control group fall into five classes using the emergency severity index scale. 1.The length of time elapsed from the exit of the triage room until each of the following measures and comparing them based on two methods of stroke triage scale and the emergency severity index scale (ESI): CT Scan doctor appiontment Checks the orders by the nurse 2.The mean of the triage score of patients hospitalized in ICU in two methods of stroke triage scale and the emergency severity index scale (ESI). 3.The mean of the triage score of patients admitted to the neurology department in two methods of stroke triage scale and the emergency severity index scale (ESI). 4.The mean of the triage score of discharged patients in two methods of stroke triage scale and the emergency severity index scale (ESI). 5.Measurement of triage error and sensitivity and specificity in two methods of stroke triage scale and the emergency severity index scale (ESI). 6.thrombolytic therapy. Timepoint: The final outcome of the patient is determined from the patients leaves the triage room to 6 hours later. Method of measurement: The level of triage of patients entering the study is determined using the items available at each scale. To measure time indicators, the hours recorded in the patient file are used. Mashhad University of Medical Sciences Approved 2018-01-16 The Ethics Committee of Mashhad University of Medical Sciences Ahmad abad Ave, Faculty of Nursing and Midwifery of Mashhad Mashhad Razavi Khorasan Iran (Islamic Republic of)