Post ICU Follow up: A Questionnaire Survey of Aftercare in Denmark
8 de noviembre de 2017 actualizado por: 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.
Descripción general del estudio
Estado
Terminado
Descripción detallada
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.
Tipo de estudio
De observación
Inscripción (Actual)
31
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Køge, Dinamarca, 4600
- Zealand University Hospital
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
- Niño
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Método de muestreo
Muestra no probabilística
Población de estudio
All Intensive Care Units in Denmark treating adult patients.
Descripción
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
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Incidence of ICUs offering early aftercare to patients after discharge from ICU
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will choose 'yes' or 'no'
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From May 15th to September 31st 2016
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Incidence of ICUs offering late aftercare to patients after discharge from hospital
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will choose 'yes' or 'no'
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From May 15th to September 31st 2016
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Size of hospital (number of beds)
Periodo de tiempo: From May 15th to September 31st 2016
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From May 15th to September 31st 2016
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Size of ICU (number of beds)
Periodo de tiempo: From May 15th to September 31st 2016
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From May 15th to September 31st 2016
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Early aftercare: Use of protocol or checklist at patient visit
Periodo de tiempo: From May 15th to September 31st 2016
|
The respondent will choose 'yes' or 'no'
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From May 15th to September 31st 2016
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Late aftercare: Use of protocol or checklist at patient visit
Periodo de tiempo: From May 15th to September 31st 2016
|
The respondent will choose 'yes' or 'no'
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From May 15th to September 31st 2016
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Early aftercare: Selection of patients offered aftercare
Periodo de tiempo: From May 15th to September 31st 2016
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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
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From May 15th to September 31st 2016
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Late aftercare: Selection of patients offered aftercare
Periodo de tiempo: From May 15th to September 31st 2016
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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
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From May 15th to September 31st 2016
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Early aftercare: Time from ICU-discharge to first contact
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will choose from a list of options: How many hours to days until the patient is contacted at the general wards
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From May 15th to September 31st 2016
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Late aftercare: Time from hospital discharge to first contact
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will choose from a list of options: How many months from discharge, until the patient is contacted
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From May 15th to September 31st 2016
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Early aftercare: Aftercare team members
Periodo de tiempo: From May 15th to September 31st 2016
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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
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From May 15th to September 31st 2016
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Early aftercare: Consumption of time
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will choose from a list of options: How much time is spent (in minutes) pr.
contact with the patient
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From May 15th to September 31st 2016
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Late aftercare: Aftercare team members
Periodo de tiempo: From May 15th to September 31st 2016
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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
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From May 15th to September 31st 2016
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Late aftercare: Consumption of time
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will choose from a list of options: How much time is spent (in minutes) pr.
contact with the patient
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From May 15th to September 31st 2016
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Early aftercare: Type of aftercare interventions during general ward stay
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will be choosing interventions from a list, and also be able to specify other interventions not present on the list
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From May 15th to September 31st 2016
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Late aftercare: Type of aftercare interventions after hospital discharge
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will be choosing interventions from a list, and also be able to specify other interventions not present on the list
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From May 15th to September 31st 2016
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Early aftercare: Type of screening tools or other methods used for patient assessment
Periodo de tiempo: From May 15th to September 31st 2016
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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
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From May 15th to September 31st 2016
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Late aftercare: Type of screening tools or other methods used for patient assessment
Periodo de tiempo: 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
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From May 15th to September 31st 2016
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Late aftercare: Contact method
Periodo de tiempo: From May 15th to September 31st 2016
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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
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From May 15th to September 31st 2016
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Late aftercare: Participation of family members
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will choose from a list: Whether the family is invited to participate in the consultation with the patient or not.
Yes/No
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From May 15th to September 31st 2016
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Classifications of reasons for not having an aftercare programme at ICUs without an aftercare programme
Periodo de tiempo: From May 15th to September 31st 2016
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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.
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From May 15th to September 31st 2016
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The responsible party for the financing of aftercare
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will choose from a list of options: The ICU itself, the general ward, the region or through funds?
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From May 15th to September 31st 2016
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The respondent's own assessment of how aftercare will be prioritized at their ICU in one year.
Periodo de tiempo: From May 15th to September 31st 2016
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The respondent will choose on a scale: More aftercare?
Same level of aftercare?
Less aftercare?
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From May 15th to September 31st 2016
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Should aftercare be offered?
Periodo de tiempo: 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
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Investigadores
- Investigador principal: Cilia KW Kjer, Bach.med, Køge Hospital
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- 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.
Enlaces Útiles
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de mayo de 2016
Finalización primaria (Actual)
1 de agosto de 2016
Finalización del estudio (Actual)
1 de enero de 2017
Fechas de registro del estudio
Enviado por primera vez
20 de abril de 2016
Primero enviado que cumplió con los criterios de control de calidad
24 de mayo de 2016
Publicado por primera vez (Estimar)
27 de mayo de 2016
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
9 de noviembre de 2017
Última actualización enviada que cumplió con los criterios de control de calidad
8 de noviembre de 2017
Última verificación
1 de noviembre de 2017
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- CK1-Survey
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
NO
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