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TELENeurological Support for Emergency Department — TELENS-ED  

Emergencies Clinical Trial

Official title:
TELENeurological Evaluation and Support for the Emergency Department (TELENS-ED): an Open-label Clinical Trial

Clinical Trial Summary

Open-label, non-inferiority, teleconsultation with televisit study to compare efficacy, safety and users satisfaction of a TeleNeurological Support versus "in person" neurological examination in the emergency department

Clinical Trial Description

The investigtors are going to perform an interventional, open-label study on the use of teleconsultation in the emergency department focused on neurological diseases other than stroke (for which a specific protocol already exists) in two Hospitals of Modena province, Italy. The study is aimed at developing a remote neurological consultancy system (teleconsultation) for patients with acute neurological symptoms in charge of hospital facilities without 24-hour availability of neurologist consultant. Pilot project setting: a) ED of Modena Policlinico Hospital in the afternoon, night, and public holidays, time windows in which the Neurologist consultant is not present at Policlinico Hospital; b) ED of Mirandola Hospital. The project (enrolment) is expected to be developed over a period of 6 months in which 100 patients will be enrolled. The primary objective is to assess whether a TeleNeurological Evaluation and Support for the Emergency Department can guarantee a faster but qualitatively not inferior diagnostic/therapeutic work-up if compared with in person examination, assuring the availability of all the necessary examinations and treatments with a consistent time reduction. Secondary objectives: to determine if the usage of a teleconsultation physician for neurological evaluation compared to a conventional physician "de visu" in urgent but non-life-threatening neurological cases, is superior regarding 1) effect evaluation, 2) process evaluation, and 3) cost-benefit analysis. Outcome and process indicators will be assessed and compared in the following groups: - Experimental group (cases): a) patients who access the Policlinico Hospital ED in the afternoon and night-time and on holidays; b) patients who access the Mirandola Hospital ED during the period of the study. - Control Groups: a) retrospectively collected data on neurological consultation performed by OCB Neurology for Policlinico Hospital patients in the same time slots in the same months of the last two years.; b) retrospectively collected data on neurological consultation performed by Carpi Neurology for Mirandola Hospital patients in the same time slots in the same months of the last two years. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT04611295
Study type Interventional
Source Azienda Ospedaliero-Universitaria di Modena
Contact
Status Active, not recruiting
Phase N/A
Start date December 1, 2020
Completion date December 30, 2022
View Details
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