Determining the Effect of Immediate Nursing Response Team on the Outcome of Multiple Trauma Emergency
Design
Is a two-group quasi-experimental clinical trial (control and intervention); In the first stage, when the rapid response team has not yet been formed, the researcher and his two trained colleagues take turns stationed in the emergency department and triage unit 24 hours a day, collecting group data as an observer. The controls are designed in a checklist. In the next step, samples are collected in the intervention group using the checklist criteria.
A minimum of 140 samples per group is required
Settings and conduct
Type of study: This study is a quasi-experimental clinical trial of two groups (intervention and control)
.Research population: Multiple trauma patients (open traumas and head trauma) admitted to the emergency room of Taleghani Educational and Medical Center in Kermanshah.
Research environment: Emergency Taleghani Educational and Medical Center in Kermanshah
Participants/Inclusion and exclusion criteria
at least 18 years of age/Cardiopulmonary arrest during admission or under diagnostic procedures
Intervention groups
Team actions: triage of patients, continuous monitoring of admitted patients and timely treatment measures(position change, oxygen therapy, secretion suction, iv line, ekg, drug)
Control: treatment procedures according to routine
Main outcome variables
1. Percentage of cardio-respiratory stations in the hospital
2. Percentage of transfer of multiple trauma patients to special wards
3. The average length of stay of patients with multiple trauma in the emergency department
4. Mortality rate of multiple trauma patients admitted to the emergency department
5. Chance of survival and successful discharge from the hospital for multiple trauma patients
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20220319054331N1
Registration date:2022-05-07, 1401/02/17
Registration timing:prospective
Last update:2022-05-07, 1401/02/17
Update count:0
Registration date
2022-05-07, 1401/02/17
Registrant information
Name
Zakariya Fattahi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 921 159 0475
Email address
soleimany.msn@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-06-22, 1401/04/01
Expected recruitment end date
2022-11-22, 1401/09/01
Actual recruitment start date
2022-05-22, 1401/03/01
Actual recruitment end date
2022-12-22, 1401/10/01
Trial completion date
2023-01-21, 1401/11/01
Scientific title
Evaluation of the effect of rapid nursing response team on the outcome of multiple trauma patients referred to the emergency department
Public title
Evaluation of the effect of rapid nursing response team on the outcome of multiple trauma patients referred to the emergency department
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients with multiple trauma (open trauma and head trauma) with at least eighteen years of age
Exclusion criteria:
Patients with multiple trauma (open trauma and head trauma) who are admitted to the emergency department with cardio-respiratory arrest.
Patients with multiple trauma (open trauma and head trauma) who suffer from cardio-respiratory arrest under diagnostic procedures
Age
From 18 years old
Gender
Both
Phase
3
Groups that have been masked
No information
Sample size
Target sample size:
280
Actual sample size reached:
280
Randomization (investigator's opinion)
Not randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Other
Other design features
does not exist
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of Qazvin University of Medical Sciences
Street address
shahid bahonar
City
qazvin
Province
Qazvin
Postal code
5981134197
Approval date
2022-05-22, 1401/03/01
Ethics committee reference number
IR.QUMS.REC.1400.508
Health conditions studied
1
Description of health condition studied
The study is performed in an emergency environment and in compliance with health and hospital protocols and standards
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Percentage of cardiac and respiratory arrests in patients with multiple trauma in the emergency department
Timepoint
From the beginning of the intervention until eight months after the intervention
Method of measurement
Percentage of multiple trauma patients with cardiac arrest
2
Description
Percentage of multiple traum patients transferred to special wards
Timepoint
From the beginning of the intervention until eight months after the intervention
Method of measurement
Percentage of multiple trama patients who are transferred to special wards
3
Description
Average length of stay of multiple trauma patients in the emergency department
Timepoint
From the beginning of the intervention until eight months after the intervention
Method of measurement
Average number of hospitalization hours for multiple trauma patients in the emergency department
4
Description
Death rate of multiple trauma patients admitted to the emergency department
Timepoint
From the beginning of the intervention until eight months after the intervention
Method of measurement
Percentage ofmultiple trauma patients who die in the emergency department
5
Description
Chance of survival and discharge of multiple trauma patients from the emergency department
Timepoint
From the beginning of the intervention until eight months after the intervention
Method of measurement
Percentage of multiple trauma patients discharged from the emergency department
Secondary outcomes
empty
Intervention groups
1
Description
In the intervention group, the rapid nursing response team triaged and leveled the patients included in the study. It then monitors hospitalized patients at regular intervals and, if necessary, measures such as blood sampling, venous line, blood transfusion or reservation, patient monitoring, transfer to paraclinical ward or unit, suction, oxygen therapy, change of position, They take an ECG, resuscitation operation, transfer of the trolley code to the bedside of the critically ill patient before the doctor's presence (actions according to the doctor's instructions) as soon as possible.Before the intervention, the duties of the team members will be explained in a two-hour session to the hospital managers, supervisors, emergency department head nurse, and in a one-day session to the nurses and assistant nurses and the emergency shift manager.
Category
N/A
2
Description
Control group: They are studied before the control group and it is done when there is no special sensitivity among the personnel towards the rapid response team. Patients in this group are treated according to the routine of the emergency department. And the results are collected based on a checklist designed by the members of the rapid response team
Category
N/A
Recruitment centers
1
Recruitment center
Name of recruitment center
Taleghani center of Kermanshah
Full name of responsible person
zakariya fattahi
Street address
shahid beheshti
City
kermanshah
Province
Kermanshah
Postal code
6976543210
Phone
+98 83 3836 7984
Fax
Email
taleghani@kums.ac.ir
Web page address
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Qazvin University of Medical Sciences
Full name of responsible person
Seyed Mehdi Mir Hashemi
Street address
Shahid Beheshti Blvd.
City
qazvin
Province
Qazvin
Postal code
13911/34156
Phone
+98 28 3333 2600
Fax
+98 28 3333 7006
Email
sm.mirhashemi@qums.ac.ir
Web page address
Grant name
no
Grant code / Reference number
dousnt have
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
Reasercher
Proportion provided by this source
60
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Qazvin University of Medical Sciences
Full name of responsible person
Zakariya fattahi
Position
Masters student
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
Attar
City
kermanshah
Province
Kermanshah
Postal code
6774512357
Phone
+98 83 3427 6301
Email
zakariyafattahi70@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Qazvin University of Medical Sciences
Full name of responsible person
Seyed Mehdi Mir Hashemi
Position
PhD in Clinical Biochemistry
Latest degree
Ph.D.
Other areas of specialty/work
Biochemistry
Street address
Shahid Beheshti - Sub-period
City
Qazvin
Province
Qazvin
Postal code
13911/34156
Phone
+98 28 3333 7006
Email
sm.mirhashemi@qums.ac.ir
Person responsible for updating data
Contact
Name of organization / entity
Qazvin University of Medical Sciences
Full name of responsible person
zakariyafattahi
Position
Masters student
Latest degree
Bachelor
Other areas of specialty/work
Nursery
Street address
attar
City
kermanshah
Province
Kermanshah
Postal code
6978645213
Phone
+98 83 3427 6301
Email
zakariyafattahi70@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Not applicable
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available