Post ICU Follow up: A Questionnaire Survey of Aftercare in Denmark
8 ноября 2017 г. обновлено: 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.
Обзор исследования
Статус
Завершенный
Подробное описание
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.
Тип исследования
Наблюдательный
Регистрация (Действительный)
31
Контакты и местонахождение
В этом разделе приведены контактные данные лиц, проводящих исследование, и информация о том, где проводится это исследование.
Места учебы
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Køge, Дания, 4600
- Zealand University Hospital
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Критерии участия
Исследователи ищут людей, которые соответствуют определенному описанию, называемому критериям приемлемости. Некоторыми примерами этих критериев являются общее состояние здоровья человека или предшествующее лечение.
Критерии приемлемости
Возраст, подходящий для обучения
- Ребенок
- Взрослый
- Пожилой взрослый
Принимает здоровых добровольцев
Нет
Полы, имеющие право на обучение
Все
Метод выборки
Невероятностная выборка
Исследуемая популяция
All Intensive Care Units in Denmark treating adult patients.
Описание
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
Учебный план
В этом разделе представлена подробная информация о плане исследования, в том числе о том, как планируется исследование и что оно измеряет.
Как устроено исследование?
Детали дизайна
Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
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Incidence of ICUs offering early aftercare to patients after discharge from ICU
Временное ограничение: 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
Временное ограничение: 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
|
Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Size of hospital (number of beds)
Временное ограничение: From May 15th to September 31st 2016
|
From May 15th to September 31st 2016
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|
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Size of ICU (number of beds)
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
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From May 15th to September 31st 2016
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Late aftercare: Selection of patients offered aftercare
Временное ограничение: 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
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From May 15th to September 31st 2016
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Early aftercare: Time from ICU-discharge to first contact
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
Временное ограничение: 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
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From May 15th to September 31st 2016
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|
Late aftercare: Aftercare team members
Временное ограничение: 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
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From May 15th to September 31st 2016
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Late aftercare: Consumption of time
Временное ограничение: 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
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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
Временное ограничение: 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
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From May 15th to September 31st 2016
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Late aftercare: Type of aftercare interventions after hospital discharge
Временное ограничение: 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
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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
Временное ограничение: 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
Временное ограничение: 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: Contact method
Временное ограничение: 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
Временное ограничение: 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
|
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
Временное ограничение: 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.
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From May 15th to September 31st 2016
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The responsible party for the financing of aftercare
Временное ограничение: 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
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The respondent's own assessment of how aftercare will be prioritized at their ICU in one year.
Временное ограничение: 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
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Should aftercare be offered?
Временное ограничение: 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
|
Соавторы и исследователи
Здесь вы найдете людей и организации, участвующие в этом исследовании.
Спонсор
Следователи
- Главный следователь: Cilia KW Kjer, Bach.med, Køge Hospital
Публикации и полезные ссылки
Лицо, ответственное за внесение сведений об исследовании, добровольно предоставляет эти публикации. Это может быть что угодно, связанное с исследованием.
Общие публикации
- 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.
Полезные ссылки
Даты записи исследования
Эти даты отслеживают ход отправки отчетов об исследованиях и сводных результатов на сайт ClinicalTrials.gov. Записи исследований и сообщаемые результаты проверяются Национальной медицинской библиотекой (NLM), чтобы убедиться, что они соответствуют определенным стандартам контроля качества, прежде чем публиковать их на общедоступном веб-сайте.
Изучение основных дат
Начало исследования
1 мая 2016 г.
Первичное завершение (Действительный)
1 августа 2016 г.
Завершение исследования (Действительный)
1 января 2017 г.
Даты регистрации исследования
Первый отправленный
20 апреля 2016 г.
Впервые представлено, что соответствует критериям контроля качества
24 мая 2016 г.
Первый опубликованный (Оценивать)
27 мая 2016 г.
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
9 ноября 2017 г.
Последнее отправленное обновление, отвечающее критериям контроля качества
8 ноября 2017 г.
Последняя проверка
1 ноября 2017 г.
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
Другие идентификационные номера исследования
- CK1-Survey
Планирование данных отдельных участников (IPD)
Планируете делиться данными об отдельных участниках (IPD)?
НЕТ
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .