Post ICU Follow up: A Questionnaire Survey of Aftercare in Denmark
8. listopadu 2017 aktualizováno: Zealand University Hospital
Follow-up After Intensive Care Treatment: a Questionnaire Survey of Intensive Care Aftercare in Denmark.
This study aims to investigate current aftercare activities in Denmark after intensive care unit (ICU) treatment. The hypothesis is that a large number of hospitals offer aftercare, and these interventions are heterogenic and differ between hospitals and regions.
This study is an electronic questionnaire survey that aim to describe and map Danish aftercare activities, and future development plans in this field.
Přehled studie
Postavení
Dokončeno
Detailní popis
Annually, more than 30,000 patients are admitted for treatment at Danish intensive care units (ICUs). These critically ill patients are some of the most vulnerable in the health care system.
For years, focus has primarily been on treatment and survival of this patient group. As treatment effectiveness has gradually increased, the overall survival rate is now above 80%. Consequently, the period following ICU discharge has gained increasing focus and follow up interventions in the period after ICU treatment have become more common. These different follow up interventions has given name to the concept of 'aftercare'. Aftercare activities includes both early rehabilitation initiated during the continued hospital admission and also the following rehabilitation after hospital discharge.
Complications after intensive care treatment are numerous, including both physical, cognitive and psychological impairments, e.g. depression, muscle weakness, anxiety and social isolation. Together these symptoms are defined as post intensive care syndrome (PICS).
While it is clear that a need for aftercare exists, the optimal evidence based activities remains to be determined. The current follow-up activities are established as local initiatives and the methods vary greatly. Examples of present aftercare interventions include use of diaries, follow-up consultations, revisiting the ICU and assessment of quality of life.
A recent systematic review examined these different rehabilitation efforts, without finding significant effects of the present interventions, although usage of ICU-diaries had a minor preventive effect on post-traumatic stress syndrome (PTSD). A Danish meta-analysis from 2015 on follow-up consultations showed similar results.
Aftercare is a rapidly developing area and it is necessary to further investigate this important topic. Therefore, the investigators want to describe the current level of aftercare with a new mapping of activities in all Danish ICUs. Hereby, the investigators hope to create a better and up-to-date foundation for further development within Danish aftercare. Furthermore, the investigators wish to research on the clinician-experienced (the participants) attitude towards and limitations for aftercare activities, in order to discuss directions for future development.
Typ studie
Pozorovací
Zápis (Aktuální)
31
Kontakty a umístění
Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.
Studijní místa
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-
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Køge, Dánsko, 4600
- Zealand University Hospital
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Kritéria účasti
Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dítě
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Ne
Pohlaví způsobilá ke studiu
Všechno
Metoda odběru vzorků
Vzorek nepravděpodobnosti
Studijní populace
All Intensive Care Units in Denmark treating adult patients.
Popis
Inclusion Criteria:
- All Intensive Care Units in Denmark treating adult patients.
Exclusion Criteria:
Intensive care units with a specialty field within these four groups:
- Neurology and neurosurgery
- Cardiothoracic surgery
- Pediatrics or neonatology (PICU/NICU)
- Postoperative care units
Studijní plán
Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.
Jak je studie koncipována?
Detaily designu
Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Incidence of ICUs offering early aftercare to patients after discharge from ICU
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose 'yes' or 'no'
|
From May 15th to September 31st 2016
|
|
Incidence of ICUs offering late aftercare to patients after discharge from hospital
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose 'yes' or 'no'
|
From May 15th to September 31st 2016
|
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Size of hospital (number of beds)
Časové okno: From May 15th to September 31st 2016
|
From May 15th to September 31st 2016
|
|
|
Size of ICU (number of beds)
Časové okno: From May 15th to September 31st 2016
|
From May 15th to September 31st 2016
|
|
|
Early aftercare: Use of protocol or checklist at patient visit
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose 'yes' or 'no'
|
From May 15th to September 31st 2016
|
|
Late aftercare: Use of protocol or checklist at patient visit
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose 'yes' or 'no'
|
From May 15th to September 31st 2016
|
|
Early aftercare: Selection of patients offered aftercare
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: All patients, Depending of length of stay, days with mechanical ventilation, or other: the respondent will specify
|
From May 15th to September 31st 2016
|
|
Late aftercare: Selection of patients offered aftercare
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: All patients, Depending of length of stay, days with mechanical ventilation, or other: the respondent will specify
|
From May 15th to September 31st 2016
|
|
Early aftercare: Time from ICU-discharge to first contact
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: How many hours to days until the patient is contacted at the general wards
|
From May 15th to September 31st 2016
|
|
Late aftercare: Time from hospital discharge to first contact
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: How many months from discharge, until the patient is contacted
|
From May 15th to September 31st 2016
|
|
Early aftercare: Aftercare team members
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: The personnel participating in the aftercare: Doctor, nurse, occupational therapist, physical therapist, pharmacist, psychologist or other
|
From May 15th to September 31st 2016
|
|
Early aftercare: Consumption of time
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: How much time is spent (in minutes) pr.
contact with the patient
|
From May 15th to September 31st 2016
|
|
Late aftercare: Aftercare team members
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: The personnel participating in the aftercare: Doctor, nurse, occupational therapist, physical therapist, pharmacist, psychologist or other
|
From May 15th to September 31st 2016
|
|
Late aftercare: Consumption of time
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: How much time is spent (in minutes) pr.
contact with the patient
|
From May 15th to September 31st 2016
|
|
Early aftercare: Type of aftercare interventions during general ward stay
Časové okno: From May 15th to September 31st 2016
|
The respondent will be choosing interventions from a list, and also be able to specify other interventions not present on the list
|
From May 15th to September 31st 2016
|
|
Late aftercare: Type of aftercare interventions after hospital discharge
Časové okno: From May 15th to September 31st 2016
|
The respondent will be choosing interventions from a list, and also be able to specify other interventions not present on the list
|
From May 15th to September 31st 2016
|
|
Early aftercare: Type of screening tools or other methods used for patient assessment
Časové okno: From May 15th to September 31st 2016
|
The respondent will be choosing screening tools and methods from a list, and also be able to specify other screening tools and methods not present on the list
|
From May 15th to September 31st 2016
|
|
Late aftercare: Type of screening tools or other methods used for patient assessment
Časové okno: From May 15th to September 31st 2016
|
The respondent will be choosing screening tools and methods from a list, and also be able to specify other screening tools and methods not present on the list
|
From May 15th to September 31st 2016
|
|
Late aftercare: Contact method
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: How the ICU contacts the patient after hospital discharge.
By phone, by letter, by mail, by digital inbox
|
From May 15th to September 31st 2016
|
|
Late aftercare: Participation of family members
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list: Whether the family is invited to participate in the consultation with the patient or not.
Yes/No
|
From May 15th to September 31st 2016
|
|
Classifications of reasons for not having an aftercare programme at ICUs without an aftercare programme
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: Not enough money, resistance from the general wards, not an important subject, and also be able to write their own answer.
|
From May 15th to September 31st 2016
|
|
The responsible party for the financing of aftercare
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose from a list of options: The ICU itself, the general ward, the region or through funds?
|
From May 15th to September 31st 2016
|
|
The respondent's own assessment of how aftercare will be prioritized at their ICU in one year.
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose on a scale: More aftercare?
Same level of aftercare?
Less aftercare?
|
From May 15th to September 31st 2016
|
|
Should aftercare be offered?
Časové okno: From May 15th to September 31st 2016
|
The respondent will choose on a scale: Totally agree, partially agree, neither agree or disagree, partially disagree, totally disagree
|
From May 15th to September 31st 2016
|
Spolupracovníci a vyšetřovatelé
Zde najdete lidi a organizace zapojené do této studie.
Sponzor
Vyšetřovatelé
- Vrchní vyšetřovatel: Cilia KW Kjer, Bach.med, Køge Hospital
Publikace a užitečné odkazy
Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.
Obecné publikace
- Herridge MS, Cheung AM, Tansey CM, Matte-Martyn A, Diaz-Granados N, Al-Saidi F, Cooper AB, Guest CB, Mazer CD, Mehta S, Stewart TE, Barr A, Cook D, Slutsky AS; Canadian Critical Care Trials Group. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med. 2003 Feb 20;348(8):683-93. doi: 10.1056/NEJMoa022450.
- Pandharipande PP, Girard TD, Jackson JC, Morandi A, Thompson JL, Pun BT, Brummel NE, Hughes CG, Vasilevskis EE, Shintani AK, Moons KG, Geevarghese SK, Canonico A, Hopkins RO, Bernard GR, Dittus RS, Ely EW; BRAIN-ICU Study Investigators. Long-term cognitive impairment after critical illness. N Engl J Med. 2013 Oct 3;369(14):1306-16. doi: 10.1056/NEJMoa1301372.
- Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, Zawistowski C, Bemis-Dougherty A, Berney SC, Bienvenu OJ, Brady SL, Brodsky MB, Denehy L, Elliott D, Flatley C, Harabin AL, Jones C, Louis D, Meltzer W, Muldoon SR, Palmer JB, Perme C, Robinson M, Schmidt DM, Scruth E, Spill GR, Storey CP, Render M, Votto J, Harvey MA. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Crit Care Med. 2012 Feb;40(2):502-9. doi: 10.1097/CCM.0b013e318232da75.
- Herridge MS, Tansey CM, Matte A, Tomlinson G, Diaz-Granados N, Cooper A, Guest CB, Mazer CD, Mehta S, Stewart TE, Kudlow P, Cook D, Slutsky AS, Cheung AM; Canadian Critical Care Trials Group. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med. 2011 Apr 7;364(14):1293-304. doi: 10.1056/NEJMoa1011802.
- Jensen JF, Thomsen T, Overgaard D, Bestle MH, Christensen D, Egerod I. Impact of follow-up consultations for ICU survivors on post-ICU syndrome: a systematic review and meta-analysis. Intensive Care Med. 2015 May;41(5):763-75. doi: 10.1007/s00134-015-3689-1. Epub 2015 Mar 3. Erratum In: Intensive Care Med. 2015 Jul;41(7):1391.
- Haggstrom M, Asplund K, Kristiansen L. How can nurses facilitate patient's transitions from intensive care?: a grounded theory of nursing. Intensive Crit Care Nurs. 2012 Aug;28(4):224-33. doi: 10.1016/j.iccn.2012.01.002. Epub 2012 Mar 3.
- Broomhead LR, Brett SJ. Clinical review: Intensive care follow-up--what has it told us? Crit Care. 2002 Oct;6(5):411-7. doi: 10.1186/cc1532. Epub 2002 Aug 15.
- Wolters A, Bouw M, Vogelaar J, Tjan D, van Zanten A, van der Steen M. The postintensive care syndrome of survivors of critical illness and their families. J Clin Nurs. 2015 Mar;24(5-6):876-9. doi: 10.1111/jocn.12678. Epub 2014 Dec 1. No abstract available.
- Mehlhorn J, Freytag A, Schmidt K, Brunkhorst FM, Graf J, Troitzsch U, Schlattmann P, Wensing M, Gensichen J. Rehabilitation interventions for postintensive care syndrome: a systematic review. Crit Care Med. 2014 May;42(5):1263-71. doi: 10.1097/CCM.0000000000000148.
- Egerod I, Risom SS, Thomsen T, Storli SL, Eskerud RS, Holme AN, Samuelson KA. ICU-recovery in Scandinavia: a comparative study of intensive care follow-up in Denmark, Norway and Sweden. Intensive Crit Care Nurs. 2013 Apr;29(2):103-11. doi: 10.1016/j.iccn.2012.10.005. Epub 2013 Jan 20.
- Engstrom A, Andersson S, Soderberg S. Re-visiting the ICU Experiences of follow-up visits to an ICU after discharge: a qualitative study. Intensive Crit Care Nurs. 2008 Aug;24(4):233-41. doi: 10.1016/j.iccn.2008.03.002. Epub 2008 Apr 22.
- Van Der Schaaf M, Bakhshi-Raiez F, Van Der Steen M, Dongelmans DA, De Keizer NF. Recommendations for intensive care follow-up clinics; report from a survey and conference of Dutch intensive cares. Minerva Anestesiol. 2015 Feb;81(2):135-44. Epub 2014 May 14.
Užitečné odkazy
Termíny studijních záznamů
Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.
Hlavní termíny studia
Začátek studia
1. května 2016
Primární dokončení (Aktuální)
1. srpna 2016
Dokončení studie (Aktuální)
1. ledna 2017
Termíny zápisu do studia
První předloženo
20. dubna 2016
První předloženo, které splnilo kritéria kontroly kvality
24. května 2016
První zveřejněno (Odhad)
27. května 2016
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
9. listopadu 2017
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
8. listopadu 2017
Naposledy ověřeno
1. listopadu 2017
Více informací
Termíny související s touto studií
Klíčová slova
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