Supporting the Recovery Needs of Patients Following Intensive Care

NCT ID: NCT05044221

Last Updated: 2021-10-21

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 40 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2021-08-31
• Study Completion Date: 2022-07-31

Brief Summary

Recovery for intensive care survivors is limited by ongoing problems with walking, strength, fatigue, mental distress and cognitive morbidity known as 'Post Intensive Care Syndrome'. There has been increasing interest in ways that clinicians can support patients in their post ICU recovery.

The investigators are undertaking a co design approach to informing the design of a recovery pathway for patients who have been admitted to the intensive care to support them in their return to home, family and working responsibilities.

Detailed Description

This project will aim to involve ~ 20 past ICU patient/family members and ~20 health professionals to participate in a co-design approach to examine the recovery needs and resources that are required to support patients after leaving hospital. Using an experience based co design methodology three 2-hour workshops will be run with the first workshop involving patients/family members, the second involving healthcare professionals to separately gain thoughts and perspectives, and then the final workshop which will be combined to identify and problem solve priority resources and solutions.

Conditions

Post Intensive Care Unit Syndrome; Post Intensive Care Syndrome; ICU Acquired Weakness; Intensive Care Unit Syndrome; Intensive Care Unit Acquired Weakness

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

Interviews: Past ICU patients and caregivers

Former ICU patients and their families that meet the following criteria: Adults \> 18 years and above who required at least 48 hours of invasive mechanical ventilation and were in the ICU at least 4 days with an ICU admission in the past five years; and able to participate in a workshop in English.

Former ICU patient and caregiver workshops

Intervention Type: OTHER

In depth interviews and workshops will be conducted with individuals enrolled in the study.

Interviews: Health care professionals

Active working health professionals with prior experience working directly in the ICU setting and/or care for ICU patients in their own clinical rea (acute, subacute and/or community settings).

Health care professional workshops

Intervention Type: OTHER

In depth interviews and workshops will be conducted with individuals enrolled in the study.

Interventions

Former ICU patient and caregiver workshops

In depth interviews and workshops will be conducted with individuals enrolled in the study.

Intervention Type: OTHER

Health care professional workshops

In depth interviews and workshops will be conducted with individuals enrolled in the study.

Intervention Type: OTHER

Other Intervention Names

In depth interviews and workshops; In depth interviews and workshops

Eligibility Criteria

Inclusion Criteria

• Hospitalized adults, aged 18 years or over
• Admitted to the ICU requiring invasive mechanical ventilation for > 48 hours and remain in the ICU for a minimum of four days
• Living at home before the current admission (not in a facility and/or no fixed abode)

Exclusion Criteria

• Non-English speaking (insufficient English language skills to read and understand questionnaires and patient information consent form)
• Pre-existing documented cognitive impairment
• Spinal cord injury or other primary neuromuscular disease
• New lower limb fracture with altered weight bearing status
• Expected survival < 3 months according to the treating medical team
• Active substance abuse or psychosis
• Lack of access to telephone / computer or inability to use these resources independently (which would impact on ability to complete the intervention)
• Pregnancy
• Suicidality
• Incarcerated
• Cardiac surgery within this ICU admission (as these patients routinely receive a standard outpatient rehabilitation through cardiac rehabilitation)
• Poor premorbid mobility defined as < 10 metres ambulation +/- gait aid independently

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Melbourne

OTHER

Sponsor Role: lead

Responsible Party

Selina M Parry

Cardiorespiratory Team Lead, Department of Physiotherapy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

The Royal Melbourne Hospital

Melbourne, Victoria, Australia

St Vincent's Hospital Melbourne

Melbourne, Victoria, Australia

Countries

Australia

References

da Silva AA, Granger CL, Abo S, Sheehan J, Barson E, Beach L, Pound G, Ali Abdelhamid Y, Fetterplace K, Fini NA, Merolli M, Sloan E, Parry SM. "How Do I Test the Waters? How Do I Go Forward?": Codesigning a Supportive Pathway after Critical Illness. Ann Am Thorac Soc. 2024 Jun;21(6):916-927. doi: 10.1513/AnnalsATS.202307-599OC.

Reference Type: DERIVED

PMID: 38330169 (View on PubMed)

Other Identifiers

RMH69389

Identifier Type: OTHER

Identifier Source: secondary_id

2020.333

Identifier Type: -

Identifier Source: org_study_id