This is a observational validation study. The Stroke Clinical Decision Support Tool ( InstaDx) , an information technology application will be adapted and developed in accordance to evidence based clinical practice guidelines ( Level IA). Neurology Residents will be using the InstaDx CDST to improve their diagnostic accuracy and the findings will be validated against the review of a stroke subject expert. The study hypothesis is that Clinical Decision Support Tool used by neurology residents will have an agreement of \>0.77 when compared to Stroke Expert (gold standard) in diagnosing type of ischemic stroke.
Overall Objective: To adapt, develop and validate the clinical decision support tool, an information technology application to assist acute stroke diagnosis for use among neurology graduate trainees compared to stroke expert (gold standard). Specific Aims: 1\. To validate the adapted clinical decision support tool, an information technology application to assist acute ischemic stroke diagnosis for use among neurology residents compared to stroke expert (Gold standard) in the adult population presenting at a tertiary care hospital in Pakistan. The study will be conducted in Emergency department and the Neurology ward at Aga Khan University Hospital. The data collector will enroll the patients meeting the eligibility criteria and providing informed consent. Neurology residents will use the Clinical Decision Support Tool application to assist in acute stroke diagnosis. In the second part, the Stroke Expert will independently assess all diagnosis. The purpose of this would be to validate the Clinical Decision Support Tool application to assist in acute stroke diagnosis.
Study Type
OBSERVATIONAL
Enrollment
210
Aga Khan University
Karachi, Pakistan
Validation_Primary Outcome Measure_ Sensitivity
Sensitivity of InstaDx used by Neurology Residents vs. Diagnosis by Stroke Expert
Time frame: Day 1
Validation_ Primary Outcome Measure_Specificity
Specificity of InstaDx used by Neurology Residents vs. Diagnosis by Stroke Expert
Time frame: Day 1
Validation_Primary Outcome Measure_Positive and Negative Predictive Values
Predictive Value of InstaDx used by Neurology Residents vs. Diagnosis by Stroke Expert
Time frame: Day 1
Acceptability
Qualitative assessments by focus group discussion will be performed to incorporate user feedback
Time frame: Day 1
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