Overview

This trial is active, not recruiting.

Conditions critical illness, intensive care unit syndrome
Sponsor Roskilde County Hospital
Start date May 2016
End date August 2016
Trial size 31 participants
Trial identifier NCT02784574, CK1-Survey

Summary

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.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Time perspective prospective

Primary Outcomes

Measure
Incidence of ICUs offering early aftercare to patients after discharge from ICU
time frame: From May 15th to September 31st 2016
Incidence of ICUs offering late aftercare to patients after discharge from hospital
time frame: From May 15th to September 31st 2016

Secondary Outcomes

Measure
Size of hospital (number of beds)
time frame: From May 15th to September 31st 2016
Size of ICU (number of beds)
time frame: From May 15th to September 31st 2016
Early aftercare: Use of protocol or checklist at patient visit
time frame: From May 15th to September 31st 2016
Late aftercare: Use of protocol or checklist at patient visit
time frame: From May 15th to September 31st 2016
Early aftercare: Selection of patients offered aftercare
time frame: From May 15th to September 31st 2016
Late aftercare: Selection of patients offered aftercare
time frame: From May 15th to September 31st 2016
Early aftercare: Time from ICU-discharge to first contact
time frame: From May 15th to September 31st 2016
Late aftercare: Time from hospital discharge to first contact
time frame: From May 15th to September 31st 2016
Early aftercare: Aftercare team members
time frame: From May 15th to September 31st 2016
Early aftercare: Consumption of time
time frame: From May 15th to September 31st 2016
Late aftercare: Aftercare team members
time frame: From May 15th to September 31st 2016
Late aftercare: Consumption of time
time frame: From May 15th to September 31st 2016
Early aftercare: Type of aftercare interventions during general ward stay
time frame: From May 15th to September 31st 2016
Late aftercare: Type of aftercare interventions after hospital discharge
time frame: From May 15th to September 31st 2016
Early aftercare: Type of screening tools or other methods used for patient assessment
time frame: From May 15th to September 31st 2016
Late aftercare: Type of screening tools or other methods used for patient assessment
time frame: From May 15th to September 31st 2016
Late aftercare: Contact method
time frame: From May 15th to September 31st 2016
Late aftercare: Participation of family members
time frame: From May 15th to September 31st 2016
Classifications of reasons for not having an aftercare programme at ICUs without an aftercare programme
time frame: From May 15th to September 31st 2016
The responsible party for the financing of aftercare
time frame: From May 15th to September 31st 2016
The respondent's own assessment of how aftercare will be prioritized at their ICU in one year.
time frame: From May 15th to September 31st 2016
Should aftercare be offered?
time frame: From May 15th to September 31st 2016

Eligibility Criteria

Male or female participants of any age.

Inclusion Criteria: - All Intensive Care Units in Denmark treating adult patients. Exclusion Criteria: Intensive care units with a specialty field within these four groups: - Neurology and neurosurgery - Cardiothoracic surgery - Pediatrics or neonatology (PICU/NICU) - Postoperative care units

Additional Information

Official title Post ICU Follow up: A Questionnaire Survey of Aftercare in Denmark
Principal investigator Cilia KW Kjer, Bach.med
Description 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. Aftercare is a rapidly developing area and it is necessary to further investigate this important topic. Therefore, the investigators want to describe the current level of aftercare with a new mapping of activities in all Danish ICUs. Hereby, the investigators hope to create a better and up-to-date foundation for further development within Danish aftercare. Furthermore, the investigators wish to research on the clinician-experienced (the participants) attitude towards and limitations for aftercare activities, in order to discuss directions for future development.
Trial information was received from ClinicalTrials.gov and was last updated in August 2016.
Information provided to ClinicalTrials.gov by Roskilde County Hospital.