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Intensive Care Unit (ICU) Diaries as a Therapeutic Intervention for Post Traumatic Stress Disorder (PTSD) Following Critical Illness (RACHEL II)

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ClinicalTrials.gov Identifier: NCT00912613
Recruitment Status : Completed
First Posted : June 3, 2009
Last Update Posted : June 3, 2009
Sponsor:
Collaborators:
St Helens & Knowsley Teaching Hospitals NHS Trust
Vrinnevishuset, Sweden
Università degli Studi di Ferrara
University of Copenhagen
Haukeland University Hospital
Hospital Pedro Hispano
Sahlgrenska University Hospital, Sweden
General Hospital of Santo António
Information provided by:
University of Liverpool

Brief Summary:
The incidence of PTSD post ICU varies from unit to unit, however a significant number of patients have been shown to develop this disorder. Many patients do not recall their stay in ICU properly and yet can clearly recall nightmares, hallucinations or paranoid delusions, which may be very frightening for the patient to recall at a later stage. As yet, no interventional studies have had an impact on the development of PTSD in this population of patients. However, a recent observational multi-centre study suggested that those patients receiving a diary of their time in ICU had lower levels of symptoms of PTSD than those who did not. These results need to be verified in the form of a randomized study.

Condition or disease Intervention/treatment Phase
Post-Traumatic Stress Disorder Other: ICU Diary Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 352 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: ICU Diaries as a Therapeutic Intervention for Post Traumatic Stress Disorder Following Critical Illness
Study Start Date : July 2007
Actual Primary Completion Date : December 2008
Actual Study Completion Date : December 2008

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
No Intervention: Discussion with nurse
Brief discussion with ICU follow-up nurse about the patients' critical illness
Experimental: ICU Diary
Receipt of ICU Diary at 1 month post critical illness
Other: ICU Diary
ICU Diary containing daily information of patients condition and treatment with appropriate photographs




Primary Outcome Measures :
  1. Diagnosis of Post Traumatic Stress Disorder [ Time Frame: 3 months post critical illness ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients staying on the ICU for at least 72 hours (with greater than 24 hours of artificial ventilation)

Exclusion Criteria:

  • ICU stay < 72 hours
  • Too confused for informed consent
  • Pre-existing psychotic illness

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00912613


Sponsors and Collaborators
University of Liverpool
St Helens & Knowsley Teaching Hospitals NHS Trust
Vrinnevishuset, Sweden
Università degli Studi di Ferrara
University of Copenhagen
Haukeland University Hospital
Hospital Pedro Hispano
Sahlgrenska University Hospital, Sweden
General Hospital of Santo António
Investigators
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Principal Investigator: Richard D Griffiths, MD University of Liverpool

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Professor Richard David Griffiths, School of Clinical Science, University of Liverpool, Liverpool, UK
ClinicalTrials.gov Identifier: NCT00912613     History of Changes
Other Study ID Numbers: 06/Q1502/127
First Posted: June 3, 2009    Key Record Dates
Last Update Posted: June 3, 2009
Last Verified: June 2009

Keywords provided by University of Liverpool:
Critical illness
ICU Diaries
Post Traumatic Stress Disorder
Incidence

Additional relevant MeSH terms:
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Disease
Stress Disorders, Traumatic
Stress Disorders, Post-Traumatic
Critical Illness
Pathologic Processes
Trauma and Stressor Related Disorders
Mental Disorders
Disease Attributes