Intra-hospital Transport of Unstable Critical care Hospitalized patient A Practice Pattern Observational Multicenter Study ( I TOUCH study)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,000
- 试验地点
- 5
- 主要终点
- Accidental extubation, accidental removal of Inter costal drains, abdominal drains
研究概览
简要总结
Intra-hospital transport of critically ill patients is often required for diagnostic and therapeutic indications. Intra-hospital journey of these patients presents with the same challenges and risks as posed by inter hospital transfer .[1] It often adds to the increased workload and stress to the critical care staff .[2] Major adverse events reported during transport of critically ill patients. Despite presence of several guidelines and few recommendations [3] , there has been no consensus regarding the ideal practice guidelines for intra hospital transport in critically ill patients. We would like to collect data prospectively from various ICUs across the country regarding the practice of intra hospital transport in unstable adult critical care patients and various complications associated in a 90-day study period .We would like to assess intra hospital transport practices and complications associated in an attempt to define the ideal ISCCM consensus statement regarding intra hospital transport of critically ill hospitalized patients.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •All adult patients (> 18years old) admitted to ICU who are unstable conditions as below- 1.Unstable included requiring oxygen therapy, mechanical ventilation or vasoactive medications.
- •2.patients with poly trauma ( not on ventilator/ vasopressors) with chest drains, EVDs(External ventricular drains) , patients with C spine injury with collar.
- •3.post operative patients with abdominal drains.
- •4.low GCS(Glasgow coma scale) / combative patients 5.patients with arrhythmias on medication infusions.
排除标准
- •1.All adult patients (< 18years )old admitted to ICU.
- •2.ICU patients who are not on vasopressors or oxygen therapy with no drains and hemodynamically stable with NSR (Normal sinus rhythm) 3.Those who are not willing to give consent 4.Pregnant patients 5.Patient with psychiatric illness.
结局指标
主要结局
Accidental extubation, accidental removal of Inter costal drains, abdominal drains
时间窗: clinical condition @ 24 hr
Increase in hemorrhage
时间窗: clinical condition @ 24 hr
1.Incidence of major cardiorespiratory complications during and after transport of critically ill adults,
时间窗: clinical condition @ 24 hr
Worsening of GCS as compared to pre-transport condition
时间窗: clinical condition @ 24 hr
次要结局
- Common indications for transport(Any other complications not included in the primary outcomes)