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DC Field | Value | Language |
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dc.contributor.author | Fitzgerald M. | en |
dc.contributor.author | Craig L. | en |
dc.contributor.author | Schadewaldt V. | en |
dc.contributor.author | McElduff P. | en |
dc.contributor.author | Quinn C. | en |
dc.contributor.author | Ward J. | en |
dc.contributor.author | Longworth M. | en |
dc.contributor.author | Denisenko S. | en |
dc.contributor.author | Cadigan G. | en |
dc.contributor.author | Middleton S. | en |
dc.contributor.author | Levi C. | en |
dc.contributor.author | Dale S. | en |
dc.contributor.author | Wah Cheung N. | en |
dc.contributor.author | McInnes E. | en |
dc.contributor.author | Considine J. | en |
dc.contributor.author | D'Este C. | en |
dc.contributor.author | Cadilhac D. | en |
dc.contributor.author | Grimshaw J. | en |
dc.contributor.author | Gerraty R. | en |
dc.date.accessioned | 2021-05-14T13:22:11Z | en |
dc.date.available | 2021-05-14T13:22:11Z | en |
dc.date.copyright | 2017 | en |
dc.date.created | 20170826 | en |
dc.date.issued | 2017-08-28 | en |
dc.identifier.citation | International Journal of Stroke. Conference: 2017 SMART STROKES Conference. Gold Coast, QLD Australia. 12 (2 Supplement 1) (pp 15), 2017. Date of Publication: August 2017. | en |
dc.identifier.issn | 1747-4949 | en |
dc.identifier.uri | https://repository.monashhealth.org/monashhealthjspui/handle/1/39144 | en |
dc.description.abstract | Background & Aims: The T3 cluster randomised trial aimed to improve Triage, Treatment and Transfer (T3) of patients with acute stroke in emergency departments (EDs). Method(s): Our prospective, multicentre, parallel group, cluster randomised trial with blinded outcome assessment, randomised EDs 1:1 to receive either the T3 intervention or no support (control EDs). Our evidence-based intervention targeted: (1) Triage: patients with suspected stroke assigned to Australian Triage Scale category 1 or 2 (seen within 10 minutes); (2) Treatment: screening for tPA eligibility and administration of tPA where applicable; protocols for management of fever, hyperglycaemia and swallowing; and (3) rapid Transfer from ED to the stroke unit, implemented using (i) workshops to determine barriers and solutions; (ii) education; (iii) use of clinical opinion leaders; (iv) email, telephone and site visit reminders. Primary Outcome: 90-days post-admission death or dependency (mRS>2). Secondary Outcomes: 90-day: health status (SF-36), functional dependency (Barthel Index), quality of life (EQ-5D); and in-hospital quality-of-care outcomes: triage practices; monitoring and management for thrombolysis, fever, hyperglycaemia, swallowing; and transfer practices. Result(s): Of the 26 eligible sites from three states and one territory in Australia, all (100%) agreed to participate with 2253 patients consenting (pre-implementation n=645; post-implementation n=1608). Of these, 1879 will be analysed (pre-implementation n=574; post-implementation n=1305). In the post-implementation cohort, 751 patients were randomised to the intervention group and 554 to the control group. Data currently are being analysed. Conclusion(s): This large trial will provide rigorous evidence for assisted implementation of nurse-initiated ED stroke protocols aiming to improve outcomes for patients with stroke. | en |
dc.language | English | en |
dc.language | en | en |
dc.publisher | SAGE Publications Inc. | en |
dc.title | The T3 Trial: Triage, Treatment and Transfer of patients with stroke in emergency departments. | en |
dc.type | Conference Abstract | en |
dc.type.studyortrial | Randomised controlled trial | - |
dc.identifier.doi | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1177/1747493017714154 | en |
local.date.conferencestart | 2017-08-10 | en |
dc.identifier.source | 617955282 | en |
dc.identifier.institution | (Middleton, Dale, McInnes, Craig, Schadewaldt) St Vincent's Health Australia Sydney, Australian Catholic University, Darlinghurst, NSW, Australia (Levi) Centre for Translational Neuroscience and Mental Health, Newcastle, NSW, Australia (Wah Cheung) Centre for Diabetes and Endocrinology Research, Westmead Hospital, University of Sydney, Westmead, NSW, Australia (Considine) Deakin University, Nursing and Midwifery Research Centre, School of Nursing and Midwifery, Burwood, VIC, Australia (D'Este) National Centre for Epidemiology and Population Health (NCEPH), Australian National University, Canberra, ACT, Australia (Cadilhac) School of Clinical Sciences, Monash Health, Monash Clayton, VIC, Australia (Grimshaw) Ottawa Health Research Institute, University of Ottawa, Ottawa, ON, Canada (Gerraty) Department of Medicine, Epworth Hospital, Richmond, VIC, Australia (McElduff) School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia (Fitzgerald) Monash University, Swinburne University of Technology, Melbourne, VIC, Australia (Quinn) Prince of Wales Hospital of Wales, Sydney, NSW, Australia (Cadigan) Statewide Stroke Clinical Network, Brisbane, QLD, Australia (Denisenko) Victorian Stroke Clinical Network, Melbourne, VIC, Australia (Longworth) Stroke Services NSW, Sydney, NSW, Australia (Ward) University of Ottawa, Ottawa, ON, Canada (Ward) University of Notre Dame Australia, Broome, WA, Australia | en |
dc.description.address | S. Middleton, St Vincent's Health Australia Sydney, Australian Catholic University, Darlinghurst, NSW, Australia | en |
dc.description.publicationstatus | CONFERENCE ABSTRACT | en |
local.date.conferenceend | 2017-08-11 | en |
dc.rights.statement | Copyright 2017 Elsevier B.V., All rights reserved. | en |
dc.identifier.affiliationext | (Middleton, Dale, McInnes, Craig, Schadewaldt) St Vincent's Health Australia Sydney, Australian Catholic University, Darlinghurst, NSW, Australia | - |
dc.identifier.affiliationext | (Levi) Centre for Translational Neuroscience and Mental Health, Newcastle, NSW, Australia | - |
dc.identifier.affiliationext | (Wah Cheung) Centre for Diabetes and Endocrinology Research, Westmead Hospital, University of Sydney, Westmead, NSW, Australia | - |
dc.identifier.affiliationext | (Considine) Deakin University, Nursing and Midwifery Research Centre, School of Nursing and Midwifery, Burwood, VIC, Australia | - |
dc.identifier.affiliationext | (D'Este) National Centre for Epidemiology and Population Health (NCEPH), Australian National University, Canberra, ACT, Australia | - |
dc.identifier.affiliationext | (Grimshaw) Ottawa Health Research Institute, University of Ottawa, Ottawa, ON, Canada | - |
dc.identifier.affiliationext | (Gerraty) Department of Medicine, Epworth Hospital, Richmond, VIC, Australia | - |
dc.identifier.affiliationext | (McElduff) School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia | - |
dc.identifier.affiliationext | (Fitzgerald) Monash University, Swinburne University of Technology, Melbourne, VIC, Australia | - |
dc.identifier.affiliationext | (Quinn) Prince of Wales Hospital of Wales, Sydney, NSW, Australia | - |
dc.identifier.affiliationext | (Cadigan) Statewide Stroke Clinical Network, Brisbane, QLD, Australia | - |
dc.identifier.affiliationext | (Denisenko) Victorian Stroke Clinical Network, Melbourne, VIC, Australia | - |
dc.identifier.affiliationext | (Longworth) Stroke Services NSW, Sydney, NSW, Australia | - |
dc.identifier.affiliationext | (Ward) University of Ottawa, Ottawa, ON, Canada | - |
dc.identifier.affiliationext | (Ward) University of Notre Dame Australia, Broome, WA, Australia | - |
dc.identifier.affiliationmh | (Cadilhac) School of Clinical Sciences, Monash Health, Monash Clayton, VIC, Australia | - |
item.fulltext | No Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
item.openairetype | Conference Abstract | - |
Appears in Collections: | Conferences |
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