Evaluating a Web-Based Ventilator Management Educational Program for Clinicians (The Lung Injury Knowledge Network [LINK] Study)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified August 2010 by Sunnybrook Health Sciences Centre.
Recruitment status was  Active, not recruiting
Sponsor:
Collaborator:
Information provided by:
Sunnybrook Health Sciences Centre
ClinicalTrials.gov Identifier:
NCT00542737
First received: October 10, 2007
Last updated: July 9, 2013
Last verified: August 2010

October 10, 2007
July 9, 2013
February 2009
September 2013   (final data collection date for primary outcome measure)
Percentage of eligible patients with ALI/ARDS who are receiving LPV [ Time Frame: Measured at Month 6 ] [ Designated as safety issue: No ]
Percentage of eligible patients with ALI/ARDS who are receiving LPV [ Time Frame: Measured at Month 6 ]
Complete list of historical versions of study NCT00542737 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
Not Provided
 
Evaluating a Web-Based Ventilator Management Educational Program for Clinicians (The Lung Injury Knowledge Network [LINK] Study)
Improving Ventilator Management and Preventing Injury to Patients With Acute Respiratory Failure

Acute lung injury/acute respiratory distress syndrome (ALI/ARDS) is a severe lung condition that causes respiratory failure. Individuals with ALI/ARDS often require the use of a respirator or artificial breathing machine, known as a mechanical ventilator, while in an intensive care unit (ICU). Research has shown that lung protective ventilation (LPV), a type of mechanical ventilation technique, is an effective way to reduce the number of deaths due to ALI/ARDS. This study will evaluate the effectiveness of a Web-based educational program that aims to educate ICU clinicians about the use of LPV in patients with ALI/ARDS.

ALI/ARDS is a life-threatening condition that involves inflammation of the lungs and fluid accumulation in the air sacs, leading to low blood oxygen levels and respiratory failure. Common causes include pneumonia, septic shock, and lung trauma, and most patients require immediate care in an ICU. The main form of treatment for ALI/ARDS is the delivery of oxygen and a continuous level of pressure to the damaged lungs through mechanical ventilation. Each year, 74,500 people die due to ALI/ARDS and 22% of these deaths could be prevented with the use of LPV. LPV is a mechanical ventilation technique in which lower volumes of oxygen are administered. The purpose of this study is to implement and evaluate a Web-based educational program that will provide educational and instructional resources about ALI/ARDS and LPV to ICU clinicians, including physicians, nurses, and respiratory therapists.

Hospitals participating in this study will be randomly assigned to access the Web site at either the beginning of the study period or a later time. Participating clinicians at each hospital will access the Web site as often as necessary for a 6-month period. The Web site will contain background and educational information on ALI/ARDS and LPV, including how to recognize ALI/ARDS and how to implement LPV in patients. Scholarly articles and other materials, including a chart to help clinicians determine appropriate ventilator settings for each patient, will be available to download. Clinicians will also be able to email questions to critical care experts. At the end of the 6-month study period, study staff will compare the number of patients receiving LPV to the number of patients who received LPV prior to the start of the study.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Respiratory Distress Syndrome, Adult
Behavioral: Web-Based Educational Program
Participating clinicians at each hospital will access the Web site as often as necessary for a 6-month period. The Web site will contain background and educational information on ALI/ARDS and LPV, including how to recognize ALI/ARDS and how to implement LPV in patients. Scholarly articles and other materials, including a chart to help clinicians determine appropriate ventilator settings for each patient, will be available to download. Clinicians will also be able to email questions to critical care experts.
  • Active Comparator: Early Intervention Group
    Intervention: Behavioral: Web-Based Educational Program
  • Active Comparator: Delayed Intervention Group
    Intervention: Behavioral: Web-Based Educational Program
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
120
July 2014
September 2013   (final data collection date for primary outcome measure)

Inclusion Criteria for Hospitals:

  • Between 10 and 20 ICU beds with 5 to 10 ALI/ARDS patients cared for each month
  • Provide critical care services
  • Keep electronic medical records on ICU patients
  • ICU staff must have access to computers with Intranet or Internet

Inclusion Criteria for Clinicians:

  • Provide care for mechanically ventilated patients in ICUs
  • Willing to participate by viewing Web site

Exclusion Criteria for Hospitals:

  • Cardiac, cardiothoracic, neurosurgical, neonatal, or pediatric ICUs
  • Residents and fellows must provide care to majority of critically ill patients
  • Fewer than 5 to 10 ALI/ARDS patients cared for each month
Both
18 Years and older
Yes
Contact information is only displayed when the study is recruiting subjects
Canada
 
NCT00542737
518, R01HL067939, R01 HL067939, GC1# A19846
Yes
Gordon D. Rubenfeld, MD, University of Toronto, Sunnybrook Health Sciences
Sunnybrook Health Sciences Centre
National Heart, Lung, and Blood Institute (NHLBI)
Principal Investigator: Gordon D. Rubenfeld, MD University of Toronto, Sunnybrook Health Sciences
Sunnybrook Health Sciences Centre
August 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP