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

    Research output: Contribution to journalMeeting Abstractpeer-review


    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.


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