Recovery After Intensive Care Study

Study Overview
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Brief Summary
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Post-ICU long term sequelae- defined as post intensive care syndrome (PICS) manifest with a wide spectrum of psychological and cognitive impairments, affecting over two-thirds of ICU survivors and leading to increased rehospitalization, health care costs, impaired quality of life (QoL), inability to return to work and burden for families. The prevalence of post-traumatic stress symptoms (PTSD), anxiety symptoms, and depression after ICU stay is high and has been demonstrated in up to 50% of post-ICU population. Therefore, over the last years, an important effort has been made for the development of ICU aftercare and follow-up clinics with the aim to detect and to minimize post-ICU sequelae and improve outcomes. However, the utility of these follow-up programs and their effect on outcome has not been completely demonstrated.

Detailed Description
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This is a single center, prospective observational study, which will be conducted at Policlinico San Martino Hospital, Genova, Italy. Patients admitted to the ICU from more than 72 hours will be consecutively included during a 2 years period. The primary objective is to assess the incidence of post-discharge mortality in patients admitted in ICU at 12 months. Secondary objectives include the evaluation at 3, 6 and 12 months of outcome of patients admitted in ICU assessing QoL, anxiety, depression, PTSD, physical ability, cognitive function, sleep disorder and return to previous life; Self- and observer reported cognitive disability at 6 and 12 months after ICU discharge; prognostic factors for poor outcome, and emotional and burden of care impact on the patient's caregivers.

Official Title
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Recovery After Intensive Care Study: a Single- Center Observational Study

Conditions
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Outcome, Follow up, Intensive Care Unit Syndrome

Intervention / Treatment
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* Other: No interventions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≥ 18 years; All patients acutely admitted in the ICU from >72 hours, for both medical and surgical pathologies. Exclusion Criteria: Pregnancy; Refuse of consent to enrolment of patient or of the doctor required to give his approval.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: No interventions|Observational study, no intervention is required|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To assess the incidence of post-discharge mortality in patients admitted in ICU. | using a neuropsychological evaluation | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cognitive outcome assessed through the MoCA scale, Montreal Cognitive Assessment | This is a scale including different tests regarding language, attention, naming giving a score from 0 (maximal cognitive dysfunction) and 30 ( no deficit) | 12 months | 
| Cognitive outcome assessed through HADS scale (Hospital Anxiety and Depression Scale) | Questionnaire with score from 0 (no issues) to 21 (maximal abnormalities) exploring depression and anxiety | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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intensive care unit, cognitive dysfunction, delirium