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Trial record 5 of 7 for:    21946660 [PUBMED-IDS]

Post ICU Follow up: A Questionnaire Survey of Aftercare in Denmark

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ClinicalTrials.gov Identifier: NCT02784574
Recruitment Status : Completed
First Posted : May 27, 2016
Last Update Posted : November 9, 2017
Sponsor:
Information provided by (Responsible Party):
Zealand University Hospital

Brief Summary:

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.


Condition or disease
Critical Illness Intensive Care Unit Syndrome

Detailed Description:

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.


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Study Type : Observational
Actual Enrollment : 31 participants
Observational Model: Other
Time Perspective: Prospective
Official Title: Follow-up After Intensive Care Treatment: a Questionnaire Survey of Intensive Care Aftercare in Denmark.
Study Start Date : May 2016
Actual Primary Completion Date : August 2016
Actual Study Completion Date : January 2017



Primary Outcome Measures :
  1. Incidence of ICUs offering early aftercare to patients after discharge from ICU [ Time Frame: From May 15th to September 31st 2016 ]
    The respondent will choose 'yes' or 'no'

  2. Incidence of ICUs offering late aftercare to patients after discharge from hospital [ Time Frame: From May 15th to September 31st 2016 ]
    The respondent will choose 'yes' or 'no'


Secondary Outcome Measures :
  1. Size of hospital (number of beds) [ Time Frame: From May 15th to September 31st 2016 ]
  2. Size of ICU (number of beds) [ Time Frame: From May 15th to September 31st 2016 ]
  3. Early aftercare: Use of protocol or checklist at patient visit [ Time Frame: From May 15th to September 31st 2016 ]
    The respondent will choose 'yes' or 'no'

  4. Late aftercare: Use of protocol or checklist at patient visit [ Time Frame: From May 15th to September 31st 2016 ]
    The respondent will choose 'yes' or 'no'

  5. Early aftercare: Selection of patients offered aftercare [ Time Frame: 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

  6. Late aftercare: Selection of patients offered aftercare [ Time Frame: 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

  7. Early aftercare: Time from ICU-discharge to first contact [ Time Frame: From May 15th to September 31st 2016 ]
    The respondent will choose from a list of options: How many hours to days until the patient is contacted at the general wards

  8. Late aftercare: Time from hospital discharge to first contact [ Time Frame: From May 15th to September 31st 2016 ]
    The respondent will choose from a list of options: How many months from discharge, until the patient is contacted

  9. Early aftercare: Aftercare team members [ Time Frame: 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

  10. Early aftercare: Consumption of time [ Time Frame: 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

  11. Late aftercare: Aftercare team members [ Time Frame: 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

  12. Late aftercare: Consumption of time [ Time Frame: 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

  13. Early aftercare: Type of aftercare interventions during general ward stay [ Time Frame: 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

  14. Late aftercare: Type of aftercare interventions after hospital discharge [ Time Frame: 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

  15. Early aftercare: Type of screening tools or other methods used for patient assessment [ Time Frame: 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

  16. Late aftercare: Type of screening tools or other methods used for patient assessment [ Time Frame: 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

  17. Late aftercare: Contact method [ Time Frame: From May 15th to September 31st 2016 ]
    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

  18. Late aftercare: Participation of family members [ Time Frame: From May 15th to September 31st 2016 ]
    The respondent will choose from a list: Whether the family is invited to participate in the consultation with the patient or not. Yes/No

  19. Classifications of reasons for not having an aftercare programme at ICUs without an aftercare programme [ Time Frame: 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.

  20. The responsible party for the financing of aftercare [ Time Frame: 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?

  21. The respondent's own assessment of how aftercare will be prioritized at their ICU in one year. [ Time Frame: From May 15th to September 31st 2016 ]
    The respondent will choose on a scale: More aftercare? Same level of aftercare? Less aftercare?

  22. Should aftercare be offered? [ Time Frame: 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



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All Intensive Care Units in Denmark treating adult patients.
Criteria

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

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): NCT02784574


Locations
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Denmark
Zealand University Hospital
Køge, Denmark, 4600
Sponsors and Collaborators
Zealand University Hospital
Investigators
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Principal Investigator: Cilia KW Kjer, Bach.med Køge Hospital

Additional Information:
Publications:

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Responsible Party: Zealand University Hospital
ClinicalTrials.gov Identifier: NCT02784574     History of Changes
Other Study ID Numbers: CK1-Survey
First Posted: May 27, 2016    Key Record Dates
Last Update Posted: November 9, 2017
Last Verified: November 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by Zealand University Hospital:
Rehabilitation
Aftercare
Additional relevant MeSH terms:
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Critical Illness
Disease Attributes
Pathologic Processes