Follow-up After Intensive Care Treatment: a Questionnaire Survey of Intensive Care Aftercare in Denmark.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 31
- 试验地点
- 1
- 主要终点
- Incidence of ICUs offering late aftercare to patients after discharge from hospital
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All Intensive Care Units in Denmark treating adult patients.
排除标准
- •Intensive care units with a specialty field within these four groups:
- •Neurology and neurosurgery
- •Cardiothoracic surgery
- •Pediatrics or neonatology (PICU/NICU)
- •Postoperative care units
结局指标
主要结局
Incidence of ICUs offering late aftercare to patients after discharge from hospital
时间窗: From May 15th to September 31st 2016
The respondent will choose 'yes' or 'no'
Incidence of ICUs offering early aftercare to patients after discharge from ICU
时间窗: From May 15th to September 31st 2016
The respondent will choose 'yes' or 'no'
次要结局
- Late aftercare: Selection of patients offered aftercare(From May 15th to September 31st 2016)
- Early aftercare: Use of protocol or checklist at patient visit(From May 15th to September 31st 2016)
- Size of ICU (number of beds)(From May 15th to September 31st 2016)
- Early aftercare: Type of screening tools or other methods used for patient assessment(From May 15th to September 31st 2016)
- The responsible party for the financing of aftercare(From May 15th to September 31st 2016)
- Early aftercare: Aftercare team members(From May 15th to September 31st 2016)
- Late aftercare: Consumption of time(From May 15th to September 31st 2016)
- Size of hospital (number of beds)(From May 15th to September 31st 2016)
- Late aftercare: Use of protocol or checklist at patient visit(From May 15th to September 31st 2016)
- Early aftercare: Selection of patients offered aftercare(From May 15th to September 31st 2016)
- Early aftercare: Time from ICU-discharge to first contact(From May 15th to September 31st 2016)
- Early aftercare: Consumption of time(From May 15th to September 31st 2016)
- Late aftercare: Aftercare team members(From May 15th to September 31st 2016)
- Late aftercare: Type of aftercare interventions after hospital discharge(From May 15th to September 31st 2016)
- Late aftercare: Contact method(From May 15th to September 31st 2016)
- Late aftercare: Participation of family members(From May 15th to September 31st 2016)
- Classifications of reasons for not having an aftercare programme at ICUs without an aftercare programme(From May 15th to September 31st 2016)
- Late aftercare: Time from hospital discharge to first contact(From May 15th to September 31st 2016)
- Early aftercare: Type of aftercare interventions during general ward stay(From May 15th to September 31st 2016)
- Late aftercare: Type of screening tools or other methods used for patient assessment(From May 15th to September 31st 2016)
- The respondent's own assessment of how aftercare will be prioritized at their ICU in one year.(From May 15th to September 31st 2016)
- Should aftercare be offered?(From May 15th to September 31st 2016)