Clinical trial NCT05044221: Supporting the Recovery Needs of Patients Following Intensive Care
Official title: Supporting the Recovery Needs of Patients Following Intensive Care
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Post Intensive Care Unit Syndrome
Post Intensive Care Syndrome
ICU Acquired Weakness
Intensive Care Unit Syndrome
Intensive Care Unit Acquired Weakness
Lead sponsor: University of Melbourne
Sponsor class: OTHER
First posted: 2021-09-14
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Participants will be recruited across two Australian hospitals

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.

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

Primary outcomes:
measure: Lived experiences and opinions
timeFrame: 3 months
Secondary outcomes:
Other outcomes:
Locations:
city: Melbourne
country: Australia
facility: The Royal Melbourne Hospital
state: Victoria
city: Melbourne
country: Australia
facility: St Vincent's Hospital Melbourne
state: Victoria
Study officials:
References: