Code Stroke 2.0 Feasibility Study Protocol [Meeting Abstract]

Brett Jones; Simeon Dale; Elizabeth McInnes; Oyebola  Fasugba; Chris Burrows; Manju John; Mary Doncillo; Christian Lueck; Simogne Wright; Catherine D'Este; Benjamin McElduff; Sandy Middleton

doi:10.1177/1747493019862960

Abstract

Background: Fever, Sugar, Swallow (FeSS) clinical protocols implemented in stroke units reduce 90- day death and dependency and are recommended in Australian stroke guidelines. The Triage, Treatment and Transfer of patients with stroke in the emergency department (T3) Trial, which sought to introduce the FeSS protocols into Emergency Departments (ED), did not demonstrate improved patient outcomes nor a change in ED care processes. Stroke nurses are ideally positioned to provide support in delivery of the FeSS protocols and facilitation of early transfer out of ED to the stroke unit. The Code Stroke 2.0 study seeks to determine if a Code Stroke pathway (previously primarily used for reperfusion therapy selection) and facilitated by a new specialist Acute Stroke Nurse (ASN) role can i) improve Code Stroke activation, and ii) improve implementation of the FeSS interventions in ED prior to prompt stroke unit transfer. Methods: This single-centre feasibility study will use a pre-test, post-test design. The study will compare data between two cohorts of patients: those who receive usual care prior to the introduction of the ASNs and those who receive care following ASN introduction. The primary outcome measure will be the proportion of stroke patients with Code Stroke activated on ED arrival. Secondary outcome measures will include improved ED documentation of the FeSS processes of care and length of stay in ED. Discussion: The results of this study will provide feasibility data for a subsequent Phase 3 trial.

Original language	English
Pages (from-to)	22-22
Journal	International Journal of Stroke Volume 14 Issue 2_suppl, SSA 2019 Conference, 10 13 September 2019, Canberra, Australia
Volume	14
Issue number	0
DOIs	https://doi.org/10.1177/1747493019862960
Publication status	Published - 2019
Event	Stroke Society of Australasia 29th Annual Scientific Meeting (SSA 2019 Conference) - Canberra, Australia, Australia Duration: 1 Jan 2019 → … https://journals.sagepub.com/doi/full/10.1177/1747493019862960

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Jones, B., Dale, S., McInnes, E., Fasugba, O., Burrows, C., John, M., Doncillo, M., Lueck, C., Wright, S., D'Este, C., McElduff, B., & Middleton, S. (2019). Code Stroke 2.0 Feasibility Study Protocol [Meeting Abstract]. International Journal of Stroke Volume 14 Issue 2_suppl, SSA 2019 Conference, 10 13 September 2019, Canberra, Australia, 14(0), 22-22. https://doi.org/10.1177/1747493019862960

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title = "Code Stroke 2.0 Feasibility Study Protocol [Meeting Abstract]",

abstract = "Background: Fever, Sugar, Swallow (FeSS) clinical protocols implemented in stroke units reduce 90- day death and dependency and are recommended in Australian stroke guidelines. The Triage, Treatment and Transfer of patients with stroke in the emergency department (T3) Trial, which sought to introduce the FeSS protocols into Emergency Departments (ED), did not demonstrate improved patient outcomes nor a change in ED care processes. Stroke nurses are ideally positioned to provide support in delivery of the FeSS protocols and facilitation of early transfer out of ED to the stroke unit. The Code Stroke 2.0 study seeks to determine if a Code Stroke pathway (previously primarily used for reperfusion therapy selection) and facilitated by a new specialist Acute Stroke Nurse (ASN) role can i) improve Code Stroke activation, and ii) improve implementation of the FeSS interventions in ED prior to prompt stroke unit transfer. Methods: This single-centre feasibility study will use a pre-test, post-test design. The study will compare data between two cohorts of patients: those who receive usual care prior to the introduction of the ASNs and those who receive care following ASN introduction. The primary outcome measure will be the proportion of stroke patients with Code Stroke activated on ED arrival. Secondary outcome measures will include improved ED documentation of the FeSS processes of care and length of stay in ED. Discussion: The results of this study will provide feasibility data for a subsequent Phase 3 trial.",

author = "Brett Jones and Simeon Dale and Elizabeth McInnes and Oyebola Fasugba and Chris Burrows and Manju John and Mary Doncillo and Christian Lueck and Simogne Wright and Catherine D'Este and Benjamin McElduff and Sandy Middleton",

year = "2019",

doi = "10.1177/1747493019862960",

language = "English",

volume = "14",

pages = "22--22",

journal = "International Journal of Stroke Volume 14 Issue 2_suppl, SSA 2019 Conference, 10 13 September 2019, Canberra, Australia",

issn = "1747-4930",

publisher = "SAGE Publications",

number = "0",

note = "Stroke Society of Australasia 29th Annual Scientific Meeting (SSA 2019 Conference) ; Conference date: 01-01-2019",

url = "https://journals.sagepub.com/doi/full/10.1177/1747493019862960",

}

Jones, B, Dale, S, McInnes, E, Fasugba, O, Burrows, C, John, M, Doncillo, M, Lueck, C, Wright, S, D'Este, C, McElduff, B & Middleton, S 2019, 'Code Stroke 2.0 Feasibility Study Protocol [Meeting Abstract]', International Journal of Stroke Volume 14 Issue 2_suppl, SSA 2019 Conference, 10 13 September 2019, Canberra, Australia, vol. 14, no. 0, pp. 22-22. https://doi.org/10.1177/1747493019862960

TY - JOUR

T1 - Code Stroke 2.0 Feasibility Study Protocol [Meeting Abstract]

AU - Jones, Brett

AU - Dale, Simeon

AU - McInnes, Elizabeth

AU - Fasugba, Oyebola

AU - Burrows, Chris

AU - John, Manju

AU - Doncillo, Mary

AU - Lueck, Christian

AU - Wright, Simogne

AU - D'Este, Catherine

AU - McElduff, Benjamin

AU - Middleton, Sandy

PY - 2019

Y1 - 2019

N2 - Background: Fever, Sugar, Swallow (FeSS) clinical protocols implemented in stroke units reduce 90- day death and dependency and are recommended in Australian stroke guidelines. The Triage, Treatment and Transfer of patients with stroke in the emergency department (T3) Trial, which sought to introduce the FeSS protocols into Emergency Departments (ED), did not demonstrate improved patient outcomes nor a change in ED care processes. Stroke nurses are ideally positioned to provide support in delivery of the FeSS protocols and facilitation of early transfer out of ED to the stroke unit. The Code Stroke 2.0 study seeks to determine if a Code Stroke pathway (previously primarily used for reperfusion therapy selection) and facilitated by a new specialist Acute Stroke Nurse (ASN) role can i) improve Code Stroke activation, and ii) improve implementation of the FeSS interventions in ED prior to prompt stroke unit transfer. Methods: This single-centre feasibility study will use a pre-test, post-test design. The study will compare data between two cohorts of patients: those who receive usual care prior to the introduction of the ASNs and those who receive care following ASN introduction. The primary outcome measure will be the proportion of stroke patients with Code Stroke activated on ED arrival. Secondary outcome measures will include improved ED documentation of the FeSS processes of care and length of stay in ED. Discussion: The results of this study will provide feasibility data for a subsequent Phase 3 trial.

AB - Background: Fever, Sugar, Swallow (FeSS) clinical protocols implemented in stroke units reduce 90- day death and dependency and are recommended in Australian stroke guidelines. The Triage, Treatment and Transfer of patients with stroke in the emergency department (T3) Trial, which sought to introduce the FeSS protocols into Emergency Departments (ED), did not demonstrate improved patient outcomes nor a change in ED care processes. Stroke nurses are ideally positioned to provide support in delivery of the FeSS protocols and facilitation of early transfer out of ED to the stroke unit. The Code Stroke 2.0 study seeks to determine if a Code Stroke pathway (previously primarily used for reperfusion therapy selection) and facilitated by a new specialist Acute Stroke Nurse (ASN) role can i) improve Code Stroke activation, and ii) improve implementation of the FeSS interventions in ED prior to prompt stroke unit transfer. Methods: This single-centre feasibility study will use a pre-test, post-test design. The study will compare data between two cohorts of patients: those who receive usual care prior to the introduction of the ASNs and those who receive care following ASN introduction. The primary outcome measure will be the proportion of stroke patients with Code Stroke activated on ED arrival. Secondary outcome measures will include improved ED documentation of the FeSS processes of care and length of stay in ED. Discussion: The results of this study will provide feasibility data for a subsequent Phase 3 trial.

U2 - 10.1177/1747493019862960

DO - 10.1177/1747493019862960

M3 - Meeting Abstract

SN - 1747-4930

VL - 14

SP - 22

EP - 22

JO - International Journal of Stroke Volume 14 Issue 2_suppl, SSA 2019 Conference, 10 13 September 2019, Canberra, Australia

JF - International Journal of Stroke Volume 14 Issue 2_suppl, SSA 2019 Conference, 10 13 September 2019, Canberra, Australia

IS - 0

T2 - Stroke Society of Australasia 29th Annual Scientific Meeting (SSA 2019 Conference)

Y2 - 1 January 2019

ER -

Code Stroke 2.0 Feasibility Study Protocol [Meeting Abstract]

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