Prognostic Estimates Among ICU Clinicians
- Conditions
- Mechanical Ventilation
- Interventions
- Behavioral: ProVent-14 score
- Registration Number
- NCT06452797
- Lead Sponsor
- Rush University Medical Center
- Brief Summary
One challenge with decision making for mechanically ventilated is that their prognosis is often uncertain. The ProVent-14 score incorporates clinical variables measured on the 14th day of mechanical ventilation to predict risk of death in one year. The ProVent-14 is easy to calculate has been externally validated. However, it is unclear how often clinicians use the ProVent-14 score to predict long-term outcomes for patients requiring 14 days of mechanical ventilation or if it helps clinicians make more accurate predictions. The purpose of this study is to determine whether ICU clinicians who receive a patient's ProVent-14 score make more accurate predictions for mortality at one year than ICU clinicians who do not.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 238
- ICU day-shift attending physician, fellow physician, advanced practice provider, or nurse
- Caring directly for a patient who requires invasive mechanical ventilation, 14-16 days after initial intubation, not actively transitioning to comfort-focused care and not with a neuromuscular disease (i.e. ALS) as a cause of respiratory failure.
- None
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description ProVent-14 Guided Prognostic Approach ProVent-14 score Participants will be asked to form a prognosis after being provided the patient's ProVent-14 score and its meaning
- Primary Outcome Measures
Name Time Method Accuracy of one-year mortality rate predictions One-year after participant enrollment Associations between participant predictions (0-100% risk of death) and patient outcomes (death or not) will be determined using logistic regression. Accuracy will be determined by Area Under the Receiver Operating Characteristic (AUROC) analysis.
- Secondary Outcome Measures
Name Time Method Comfort communicating prognosis to patient/surrogate Upon enrollment 1-10 scale, 10 being most comfortable
Accuracy of timing of patient death One-year after participant enrollment Participants who predict the patient has a \<50% chance of survival will be asked to predict the month the patient will pass away
Confidence in prediction Upon enrollment 1-10 scale, 10 being most confident
Recommendation to transition to comfort-focused care Upon enrollment Yes or No
Trial Locations
- Locations (3)
Rush Oak Park Hospital
🇺🇸Oak Park, Illinois, United States
University of North Carolina
🇺🇸Chapel Hill, North Carolina, United States
Rush University Medical Center
🇺🇸Chicago, Illinois, United States