None listed
Conditions
Brief summary
IMPROVING OUTCOME OF SEPSIS Greater numbers of patients are surviving intensive care but have poor quality of life due to immobility, poor cognition, post traumatic stress disorder, depression and frequent readmissions to hospital. Patients with a severe infection “sepsis” are particularly affected. This study aims to improve the overall outcome of critically ill patients with sepsis, through a follow up outpatient service. The intervention group will be screened by several instruments and appropriate referrals made. This trial will investigate whether these interventions can prevent readmission to hospital; improve health related quality of life, decrease mortality, and decrease utilization of health resources thereby decreasing the burden on the Australian health system.
Interventions
Patients in the intervention group will attend a follow-up clinic monthly for 1.5 hours for up to six months after discharge from the hospital. Screening instruments will be utilized and appropriate management and referral provided. Examples of screening instruments are: overall medical review involving all systems assessment, medications, vital signs, assessment of mobility (modified Rivermead Mobility Index), balance assessment (Berg Balance measure) referrals to community for further rehabil
Patients in the intervention group will attend a follow-up clinic monthly for 1.5 hours for up to six months after discharge from the hospital. Screening instruments will be utilized and appropriate management and referral provided. Examples of screening instruments are: overall medical review involving all systems assessment, medications, vital signs, assessment of mobility (modified Rivermead Mobility Index), balance assessment (Berg Balance measure) referrals to community for further rehabilitation, discussion with carer as to concerns (Zarit Burden interview), screening for chronic pain syndromes, nutritional review - referral to nutritionists and/or speech pathology if required, screening with UK-PTSS-14 (for post traumatic stress syndrome) and K-10 inventory for depression, referral to general practitioner or psychologists if needed, referral for occupational assessment re return to work or activities of daily living, liaison with general practitioners.
Sponsors
The University of Queensland
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 96 Years
Healthy volunteers
No
Inclusion criteria
1. Patients included will be male or female, 2. >18 years, 3. documented episode(s) of sepsis, severe sepsis or septic shock 4. Required intensive care admission 5. Required mechanical ventilation for longer than 48 hours 6. Discharged to community or low level facility
Exclusion criteria
1. Neurological injuries, 2. Spinal injuries 3. Burns injury 4. Non-English speaking 5. Mini-mental state examination<25/30
Outcome results
None listed