Evidence map›Paper›PMID 27756434›Full record

Trial reportImplementation science : IS2016

Triage, treatment and transfer of patients with stroke in emergency department trial (the T

Sandy Middleton, Chris Levi, Simeon Dale, N Wah Cheung, Elizabeth McInnes, Julie Considine, Catherine D'Este, Dominique A Cadilhac, Jeremy Grimshaw, Richard Gerraty and 10 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Implementation science : IS, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 10 institutions in 2 countries.

Sandy MiddletonNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5 DeLacy Building, St Vincent's Hospital, Victoria Road, Darlinghurst, 2010, New South Wales, Australia. Sandy.middleton@acu.edu.au.
Chris LeviJohn Hunter Hospital, Newcastle, Australia.
Simeon DaleNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5 DeLacy Building, St Vincent's Hospital, Victoria Road, Darlinghurst, 2010, New South Wales, Australia.
N Wah CheungCentre for Diabetes and Endocrinology Research, Westmead Hospital and University of Sydney, Westmead, Sydney, New South Wales, Australia.
Elizabeth McInnesNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5 DeLacy Building, St Vincent's Hospital, Victoria Road, Darlinghurst, 2010, New South Wales, Australia.
Julie ConsidineFaculty of Health, Eastern Health - Deakin University Nursing and Midwifery Research Centre School of Nursing and Midwifery, Burwood, Victoria, 3125, Australia.
Catherine D'EsteNational Centre for Epidemiology and Population Health (NCEPH), Australian National University, Canberra, Australian Capital Territory, Australia.
Dominique A CadilhacStroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, Melbourne, Victoria, Australia.
Jeremy GrimshawClinical Epidemiology Program, Ottawa Health Research Institute, 1053 Carling Avenue, Administration Building, Room 2-017, Ottawa, Ontario, K1Y 4E9, Canada.
Richard GerratyDepartment of Medicine, Monash University, Melbourne, Australia.
Louise CraigNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5 DeLacy Building, St Vincent's Hospital, Victoria Road, Darlinghurst, 2010, New South Wales, Australia.
Verena SchadewaldtNursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University, Executive Suite, Level 5 DeLacy Building, St Vincent's Hospital, Victoria Road, Darlinghurst, 2010, New South Wales, Australia.
Patrick McElduffSchool of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, 2300, Australia.
Mark FitzgeraldAlfred Hospital, Melbourne, Victoria, 3004, Australia.
Clare QuinnSpeech Pathology Department, Prince of Wales Hospital, High St, Randwick, New South Wales, 2031, Australia.
Greg CadiganStatewide Stroke Clinical Network, Brisbane, 4000, Australia.
Sonia DenisenkoDepartment of Health Victoria, Victorian Stroke Clinical Network, Melbourne, Victoria, 3000, Australia.
Mark LongworthStroke Services NSW, NSW Agency for Clinical Innovation, Chatswood, New South Wales, Australia.
Jeanette WardSchool of Epidemiology, Public Health and Preventive Medicine (SEPHPM), University of Ottawa, 451 Smyth Road, Ottawa, Ontario, K1H 8M5, Canada.
T3 Trialist Collaborators
St Vincent's Hospital Melbourne · AUUniversity of Ottawa · CAAustralian National University · AUJohn Hunter Hospital · AUThe Alfred Hospital · AUThe University of Sydney · AUDeakin University · AUEpworth Hospital · AUPrince of Wales Hospital · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternationally recognised evidence-based guidelines recommend appropriate triage of patients with stroke in emergency departments (EDs), administration of tissue plasminogen activator (tPA), and proactive management of fever, hyperglycaemia and swallowing before prompt transfer to a stroke unit to maximise outcomes. We aim to evaluate the effectiveness in EDs of a theory-informed, nurse-initiated, intervention to improve multidisciplinary triage, treatment and transfer (T

methodsThis prospective, multicentre, parallel group, cluster randomised trial with blinded outcome assessment will be conducted in EDs of hospitals with stroke units in three Australian states and one territory. EDs will be randomised 1:1 within strata defined by state and tPA volume to receive either the T DISCUSSION: This theoretically informed intervention is aimed at addressing important gaps in care to maximise 90-day health outcomes for patients with stroke.

trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12614000939695 . Registered 2 September 2014.

Indexed as

AdultAgedCluster AnalysisData CollectionDeglutition DisordersDouble-Blind MethodEmergency Service, HospitalFemaleFeverHumansHyperglycemiaInformation Storage and RetrievalMaleMiddle AgedNew South WalesPatient TransferTissue Plasminogen ActivatorCare bundleCluster randomised trialDysphagiaFeverHyperglycaemiaImplementation scienceNurse-ledStrokeTheoretical domains frameworkThrombolysis

Identifiers

PMID27756434
PMCPMC5069775
OpenAlexW2537652414

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.