Evaluation of Outcomes Following Critical Illness Through a MICU Recovery Clinic
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 14
- Locations
- 1
- Primary Endpoint
- Physical Function
Study Overview
Brief Summary
Summary: Emerging data demonstrate long-term morbidity and mortality in those who survive critical illness. However, there is no data regarding long-term follow-up for ICU survivors. The investigators have begun the implementation of an ICU recovery clinic.
Rationale:
ICU survivors are at high risk for functional, cognitive and psychiatric impairments. However, methods to mitigate these impairments and improve recovery are lacking. Special follow-up clinics for survivors of critical illness have been proposed and implemented to some degree, but are uncommon.
Detailed Description
Objectives:
- To evaluate physical function, cognitive function, and overall functional status during recovery from critical illness.
- To evaluate anxiety, depression, and PTSD during recovery from critical illness.
- To evaluate resilience during recovery from critical illness.
- To evaluate healthcare utilization rates, morbidity, and mortality following critical illness.
- Added April 2016: To study the voice and swallowing function of patients following recovery from critical illness.
- Added April 2016: To study the pain of patients following recovery from critical illness.
Intervention:
A prospective observational study of all patients who attend our ICU recovery clinic.
Methods:
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Wake Forest MICU Admission
- •sepsis OR
- •respiratory failure requiring >24 hrs of invasive mechanical ventilation
- •previously functional
Exclusion Criteria
- •Active Malignancy
Outcomes
Primary Outcomes
Physical Function
Time Frame: 6 months
as measured by the Short Performance Physical Battery
Secondary Outcomes
- Cognitive Function(6 months)
- Resilience(6 months)
- Hospital Readmissions(6 months)
- Anxiety/ Depression Screening(6 months)
- Quality of Life(6 months)
- Physical Function(6 months)
- Post Traumatic Stress Disorder Screening(6 months)
- Functional Status(6 months)
- Mortality(6 months)