Prognostic Estimates Among ICU Clinicians Caring for Patients Requiring Prolonged Mechanical Ventilation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 238
- 试验地点
- 6
- 主要终点
- Accuracy of one-year mortality rate predictions
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- 未提供
结局指标
主要结局
Accuracy of one-year mortality rate predictions
时间窗: 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.
次要结局
- Comfort communicating prognosis to patient/surrogate(Upon enrollment)
- Accuracy of timing of patient death(One-year after participant enrollment)
- Confidence in prediction(Upon enrollment)
- Recommendation to transition to comfort-focused care(Upon enrollment)
研究者
Jared Greenberg
Principal Investigator
Rush University Medical Center