Neuropathic Pain and Quality of Life in ICU Survivors

Study Overview
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Brief Summary
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Previous research on intensive care unit (ICU) survivors shows that rehabilitation is challenging, because of patients experiences of disease related problems both under and after treatment. Approximately 20 % of patients die within hospital, up to 80% suffer from hallucinations and nightmares, deal with paranoiac experiences, chronic pain and other symptoms and disability (Angus et al 2004; De Letter et al 2001; Ely et al 2001; Nelson et al 2006; Van den Berghe et al 2001; Van den Berghe et al 2003) . A recent study shows that 28% of intensive care survivors have chronic pain that reduce their health related quality of life (Boyle et al 2004). The aim of this study is to perform a survey about prevalence of pain type, and which consequences this causes when it comes to function and quality of life up to 12 months after the ICU stay. What type of pain has ICU survivors and how do pain change over time, related to treatment/rehabilitation and the illness' development? What is the relationship between different pain characteristic, quality of life, anxiety, depression, fatigue, sleep and PTSD in these patients? What is these patients largest obstacle for good QoL after discharge from hospital?

Detailed Description
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A prospective and longitudinal survey 3 time points for data collection: ICU - background data about the patients ICU stay (days on ventilator, medication, treatment, SAPS II, SOFA etc). 3 months after ICU discharge - survey about pain, QoL, sleep, fatigue, Post traumatic stress disorder (PTSD), anxiety and depression. One year after ICU discharge - the same as 3 months. Survey instruments: Pain - Brief Pain Inventory, Neuropathic Pain Syndrome Inventory, Pain diary QoL - SF 12, Sleep - General Sleep Disorder Scale Fatigue - Lee Fatigue Scale Anxiety and depression - Hospital Anxiety and Depression Scale PTSD - PTSS 10 Social Provision - Revised Social Provision Scale

Official Title
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Neuropathic Pain and Quality of Life in ICU Survivors

Conditions
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Critical Illness

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ICU stay longer than 48 h 18 years old or older Patients must write and understand Norwegian well. Exclusion Criteria: Dying patients No acceptance form next of kind No concent from the patients Other that the researcher thinks should be excluded f. ex Patients with very bad prognosis Patients with low probability for self report after ICU stay

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Do pain change over time in ICU survivors meassured with BPI and NPSI? | We will compare the results from 3 months with 1 year and look for differences. | 1year after ICU discharge | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| What is the relationship between patients self reported experience of pain and neurophysiological findings? |  | 3 months after ICU discharge | 
| What is the relationship between patients self reported experience of pain and neurophysiological findings? |  | 1 year after ICU discharge | 
| How are ICU survivors health related quality of life meassured with SF12? |  | 3 months after ICU discharge | 
| How are ICU survivors health related quality of life meassured with SF 12? |  | 1 year after ICU discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Critical illness, pain, quality of life