Pharmacist-Intensivist Collaborative Telehealth for Post-Intensive Care Syndrome
Pharmacist-Intensivist Collaborative Telehealth for Post-Intensive Care Syndrome in Survivors of Critical Illness: a Pilot Randomized Controlled Trial
The goal of this pilot randomized controlled trial is to determine if a randomized controlled trial of a collaborative pharmacist-intensivist telehealth follow-up after intensive care unit discharge can feasibly be performed in patients who have survived a critical illness.
The study intervention will be telehealth follow-up appointments provided by clinical pharmacists at approximately one and three months post-hospital discharge. The purpose of the follow-up appointments will be to assess for post-intensive care syndrome and provide recommend interventions aimed at improving recovery
Participants will randomized to receive the study intervention or standard of care.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Andrew J Franck, Pharm.D.
- Phone Number: 105771 3523761611
- Email: Andrew.Franck@va.gov
Study Locations
-
-
Florida
-
Gainesville, Florida, United States, 32608
- Recruiting
- Malcom Randall Veterans Affairs Medical Center
-
Contact:
- Andrew J Franck, Pharm.D.
- Phone Number: 352-376-1611
- Email: Andrew.Franck@va.gov
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults 18-89 years of age
- Required admission to either medical or surgical ICU
- Respiratory failure requiring invasive mechanical ventilation of at least 24 hours during ICU stay; or ICU stay of at least 7 days
- Anticipated discharge to home after hospitalization
- Consent from patients themselves or a legally authorized representative if necessary
Exclusion Criteria:
- Pregnancy
- Incarceration/Imprisonment
- Life expectancy less than 6 months or enrolled in hospice/palliative care
- Anticipated discharge to skilled nursing facility, medical rehabilitation facility, or other long terms care facility
- Unable to participate in telehealth
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Telehealth Intervention Group
This group will receive the study intervention (i.e.
telehealth follow-up appointments at approximately one and three months post-hospital discharge).
|
The post-ICU clinic follow-up will be conducted by a pharmacist via a telehealth visit.
A collaborating physician (i.e.
intensivist) will provide clinical support and oversight as needed.
The appointments will be 30-60 minute telephone/video calls.
Participants be assessed for PICS and recommended interventions to improve their care.
|
|
No Intervention: Standard of Care Group
This group will receive standard post-ICU care following hospital discharge.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Completion of Post-ICU follow-up
Time Frame: From enrollment to end of follow-up period at seven months
|
Percentage of patients completing post-ICU follow-up
|
From enrollment to end of follow-up period at seven months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Quality of life at 6 months using the Short Form Survey (SF-36)
Time Frame: From enrollment to 7 months
|
Medical Outcomes Study (MOS) 36-Item Short Form Health Survey (SF-36).
Scores 0-100, higher scores indicating more favorable health state.
|
From enrollment to 7 months
|
|
Hospital or ICU re-admissions
Time Frame: Enrollment up to 7 months
|
Enrollment up to 7 months
|
|
|
Emergency department visits
Time Frame: Enrollment up to 7 months
|
Enrollment up to 7 months
|
|
|
Mortality
Time Frame: within 6 months post-hospital discharge
|
within 6 months post-hospital discharge
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- IRB202401793
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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