Vanderbilt ICU Recovery Program Pilot Trial

Not Applicable

Completed

Conditions: Intensive Care Unit Syndrome
Intensive Care (ICU) Myopathy
Intensive Care Psychiatric Disorder (Diagnosis)
Intensive Care Neurological Disorder

Brief Summary: Every year, millions of Americans are admitted to the intensive care unit. Due to advances in critical care, mortality rates are decreasing, increasing the number of ICU survivors. Survivors of critical illness, however, often face physical, functional, and cognitive deficits that place them at risk for a cycle of re-hospitalization that frequently culminates in premature death. Moreover, post-ICU interventions may be resource-intensive and may be most cost-effective only in a subgroup of patients at highest risk. Whether a multi-disciplinary program to facilitate recovery from critical illness can prevent hospital readmission and improve quality of life among high-risk ICU survivors remains unknown. The primary aim of this pilot is to examine the feasibility of implementing a multidisciplinary ICU Recovery Program and the influence of such a program on process measures including contact with the ICU recovery team and attendance of ICU recovery clinic. The secondary aims are to compare the effect of an ICU Recovery Program on 30-day same-hospital readmission and other clinical outcomes.

Recruitment & Eligibility

Inclusion Criteria

Age ≥ 18 years
Admitted to the Medical Intensive Care Unit (MICU) at Vanderbilt University Medical Center for at least 48 hours
Estimated risk of 30-day same-hospital readmission greater than 15%
Not previously enrolled in the study.

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
VANDERBILT ICU RECOVERY PROGRAM (VIP)	VANDERBILT ICU RECOVERY PROGRAM	Patients assigned to the Vanderbilt ICU Recovery Program (VIP) group will receive the components of the ICU Recovery Program intervention.

Primary Outcome Measures

Name	Time	Method
Number of Components of the ICU Recovery Program Received	From the time of study enrollment to 30 days after hospital discharge	Number of components of the ICU Recovery Program intervention received by patients between ICU transfer and 30 days after hospital discharge. The 10-components considered part of the ICU Recovery Program include: (1) nurse practitioner in-person visit between ICU transfer and hospital discharge, (2) ICU Recovery Program pamphlet, (3) pharmacist medication reconciliation at the time of ICU transfer, (4) ICU Recovery Program contact line, (5) nurse practitioner history and physical in ICU Recovery Clinic, (6) pharmacist medication reconciliation in ICU Recovery Clinic, (7) cognitive/mental health assessment and psychoeducation in ICU Recovery Clinic, (8) case management consultation in ICU Recovery Clinic, (9) patient centered consultation with pulmonary and critical care medicine physician in ICU Recovery clinic, (10), directed subspecialty referrals.

Secondary Outcome Measures

Name	Time	Method
Number of Participants With Same-hospital Readmission in the 30 Days After Hospital Discharge	Within 30 days of hospital discharge	Readmission to the study hospital in the 30 days after hospital discharge
Number of Participants Death or Readmission in the 30 Days After Hospital Discharge	Within 30 days of hospital discharge	Composite outcome of death or readmission in the 30 days after hospital discharge
Number Participants With Same-hospital Emergency Department Visits in the 30 Days After Hospital Discharge	Within 30 days of hospital discharge
Number of Same-hospital Outpatient Clinic Visits in the 30 Days After Hospital Discharge	Within 30 days of hospital discharge

Locations (1): Vanderbilt University Medical Center
🇺🇸
Nashville, Tennessee, United States