Intensive Communication for Chronically Critically Ill
研究概览
详细说明
Formal family meetings have been recommended as a useful approach to assist in goal setting, facilitate decision making, and reduce use of ineffective resources in the ICU. We implemented an "intensive communication system" to test the effect of regular, structured formal family meetings on patient outcomes among long-stay ICU patients
The design was a pre-post, tandem assignment of patients (n=217) receiving usual care and communication, followed by enrollment of intervention patients (n=354), from 5 ICUs. The "intensive communication system" included: (1) family meeting within 5 days of ICU admission and weekly thereafter; (2) each meeting addressed medical update, values and preferences, goals of care; treatment plan, and milestones for judging effectiveness of treatment.
We measured differences between control and intervention patients in indicators of aggressiveness of care or timing of treatment limitation decisions (ICU mortality, LOS, duration of ventilation, treatment limitation orders, or use of tracheostomy or percutaneous gastrostomy). Difference in outcomes among patients who died or who had treatment limitation orders, comparing control and intervention groups, was also examined.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Ohio
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Cleveland、Ohio、美国、44106
- University Hosptials Case Medical center
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- cognitively impaired mechanical ventilation >3 days not expected to be discharged before 5 days having a family decision maker
Exclusion Criteria:
- no family member hospice referral
学习计划
研究是如何设计的?
设计细节
- 主要用途:支持治疗
- 分配:非随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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无干预:控制
日常护理
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实验性的:Intensive Communication
regular family meeting every 5 days.
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Regular family meetings once a week, using a standard protocol
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
length of stay and depression
大体时间:ICU admission, Day 5, discharge, and 2 months
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ICU admission, Day 5, discharge, and 2 months
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合作者和调查者
调查人员
- 首席研究员:Barbara J Daly, PhD, RN、Case Western Reserve University
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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重症监护的临床试验
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Washington University School of MedicineColumbia University; Indiana University; Rakai Health Sciences Program; Reach the Youth Uganda主动,不招人
Intensive Communication System的临床试验
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SpineSave AG尚未招聘脊椎关节炎 | 腰椎不稳 | 退行性脊椎滑脱 | 退行性腰椎管狭窄症 | 椎间盘病 | 小关节关节病
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Archus Orthopedics, Inc.未知腰背疼痛 | 脊柱疾病 | 腰椎管狭窄症 | 椎管狭窄 | 腰椎滑脱 | 腿痛