Optimization of post-hospital intensive care for neurological patients
Not Applicable
- Conditions
- G00-G99Z99.0Diseases of the nervous systemDependence on aspirator
- Registration Number
- DRKS00027326
- Lead Sponsor
- Klinikum der Universität München
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 113
Inclusion Criteria
Age of majority
- Inpatient treatment in the neurological early rehabilitation with neurological rehabilitation diagnosis
- Presence of mechanical ventilation and/or TC.
- Acute onset of illness < 10 months
- Planned discharge to AIP in Bavaria
- Existing informed consent for study participation
Exclusion Criteria
- Palliative treatment/life expectancy according to medical assessment < 12 months
- Weaning/decanulation medically ruled out (e.g., high cervical spinal cord injury, laryngeal tumor)
- Pre-existing AIP
- Progressive neuromuscular disease (e.g. Muscular dystrophy, ALS)
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Rate of patients in the intervention group compared to the control group who could be weaned from mechanical ventilation and/or TC one year after the start of treatment in the AIP
- Secondary Outcome Measures
Name Time Method Clinical factors (standardized scores using questionnaires and clinical scales, respectively):<br>TC and ventilatory status and modalities.<br>Mortality<br>Neurological status<br>Activities of daily living (ATL)<br>Quality of life (QOL)/depression, anxiety<br>Relative burden<br>Care situation<br>Satisfaction with care situation (use of AIP / living arrangements)<br>Utilization of health care (medication, remedies, hospital treatment)<br>Complications/side effects<br><br>Additional health economic factors: Indirect and direct costs of the intervention Analysis of pseudonymized AOK routine data Cost-benefit analysis of the new form of treatment