Feasibility and impact of the Home in ICU concept, an interventional pilot study in a tertiary care medical college hospital of Eastern India
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- Feasibility
研究概览
简要总结
This study is a single-centered non-randomized interventional pilot trial to assess the feasibility of practicing the ‘home at ICU’ concept and its superiority over conventional intensive care. The primary outcome measures will be the feasibility of the ’Home in ICU’ care, ICU length of stay, and the presence of delirium on admission, during ICU stay, and at discharge. Also, bedsores and ICU-acquired infections at discharge will be noted. The secondary outcome will be burnout symptoms, workload among nurses and doctors, and patient well-being assessed using questionnaires. Others will be incidences of near-miss events, time taken to ask for consent, and time to obtain consent.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 99.00 Year(s)(—)
- 性别
- All
入选标准
- •For patients 1.Willing to participate in the study 2.Conscious, alert, and able to communicate For family members 1.Close family member 2.The patient is willing for the family member to stay with them 3.Sensible and effective 4.Emotionally stable 5.Willing to participate in the study 6.Trained in ‘Home in ICU’ care 7.Willing to stay for at least 7 days during ICU stay with the patient after training and assessment For healthcare team 1.Willing to participate in the study.
排除标准
- •Diagnosed with a serious airborne contagious disease (Covid 19, H1N1)
- •Anybody who is not meeting the inclusion criteria.
结局指标
主要结局
Feasibility
时间窗: Feasibility - ICU discharge | Patient satisfaction during ICU stay whenever possible- Daily | ICU length of stay- ICU discharge | Presence or absence of delirium- 8th hrly | Occurrence of near-miss events during ICU stay- Daily | Post-discharge cognition impairment using BASIC- Q scoring system - Day 28 | Occurrence and severity of bedsore -daily | ICU-acquired infections- daily
Patient satisfaction during ICU stay whenever possible
时间窗: Feasibility - ICU discharge | Patient satisfaction during ICU stay whenever possible- Daily | ICU length of stay- ICU discharge | Presence or absence of delirium- 8th hrly | Occurrence of near-miss events during ICU stay- Daily | Post-discharge cognition impairment using BASIC- Q scoring system - Day 28 | Occurrence and severity of bedsore -daily | ICU-acquired infections- daily
ICU length of stay
时间窗: Feasibility - ICU discharge | Patient satisfaction during ICU stay whenever possible- Daily | ICU length of stay- ICU discharge | Presence or absence of delirium- 8th hrly | Occurrence of near-miss events during ICU stay- Daily | Post-discharge cognition impairment using BASIC- Q scoring system - Day 28 | Occurrence and severity of bedsore -daily | ICU-acquired infections- daily
Presence or absence of delirium
时间窗: Feasibility - ICU discharge | Patient satisfaction during ICU stay whenever possible- Daily | ICU length of stay- ICU discharge | Presence or absence of delirium- 8th hrly | Occurrence of near-miss events during ICU stay- Daily | Post-discharge cognition impairment using BASIC- Q scoring system - Day 28 | Occurrence and severity of bedsore -daily | ICU-acquired infections- daily
Occurrence of near-miss events during ICU stay
时间窗: Feasibility - ICU discharge | Patient satisfaction during ICU stay whenever possible- Daily | ICU length of stay- ICU discharge | Presence or absence of delirium- 8th hrly | Occurrence of near-miss events during ICU stay- Daily | Post-discharge cognition impairment using BASIC- Q scoring system - Day 28 | Occurrence and severity of bedsore -daily | ICU-acquired infections- daily
Post-discharge cognition impairment using BASIC- Q scoring system
时间窗: Feasibility - ICU discharge | Patient satisfaction during ICU stay whenever possible- Daily | ICU length of stay- ICU discharge | Presence or absence of delirium- 8th hrly | Occurrence of near-miss events during ICU stay- Daily | Post-discharge cognition impairment using BASIC- Q scoring system - Day 28 | Occurrence and severity of bedsore -daily | ICU-acquired infections- daily
Occurrence and severity of bedsore
时间窗: Feasibility - ICU discharge | Patient satisfaction during ICU stay whenever possible- Daily | ICU length of stay- ICU discharge | Presence or absence of delirium- 8th hrly | Occurrence of near-miss events during ICU stay- Daily | Post-discharge cognition impairment using BASIC- Q scoring system - Day 28 | Occurrence and severity of bedsore -daily | ICU-acquired infections- daily
ICU-acquired infections
时间窗: Feasibility - ICU discharge | Patient satisfaction during ICU stay whenever possible- Daily | ICU length of stay- ICU discharge | Presence or absence of delirium- 8th hrly | Occurrence of near-miss events during ICU stay- Daily | Post-discharge cognition impairment using BASIC- Q scoring system - Day 28 | Occurrence and severity of bedsore -daily | ICU-acquired infections- daily
次要结局
- Incidence & level of burnout symptoms & workload among nurses & doctors using questionnaires
研究者
Kondala Swathi
IMS and SUM Hospital
