Health Condition 1: G969- Disorder of central nervous system, unspecified
Conditions
Interventions
Intervention1: Tracheostomy group post implementation of AIR intervention: Adult tracheotomized chronically ill patients who are declared expected fit to discharge by the primary clinician for a perio
Sponsors
Swagata Tripathy
Eligibility
Inclusion criteria
Inclusion criteria: Adult tracheostomised patients in the neurosurgery ICU, expected to survive beyond and need tracheostomy for more than 2 weeks after declared ‘expected fit to discharge’ from the ICU by the treating physician/ surgeon and willingness to give written informed consent.
Exclusion criteria
Exclusion criteria: Pediatric patients and patients without an identified family carer willing for home care, Patients needing greater organ support than manageable at home (home ventilation excluded) Current participation in an interventional trial with conflicting therapies or primary outcomes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time from the clinician agreeing that the patient can be managed at home to the actual time of patient discharge. Timepoint: Sixteen time points (at weekly intervals) before and 16 time points after the intervention is implemented. Approximately 5 discharges at every time point. Approximately 160 patients over 10months. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient & Carer Reported Outcomes measured at 1-months a. Health related QoL (EQ-5D-3L) of patients at hospital discharge & at 1 month b. Carer Burden Scores of carers at hospital discharge & at 1 month post discharge 2. Measures of safety a. Hospital device-associated infections, e.g., CAUTI, VAP, HAP in rate of events within group per unit time. b. Clinical outcomes– Bed sore, Tracheostomy block, Clinical Deterioration, readmission & mortality (rate/ unit time). 3. Measures of process a. Adherence to the intervention i. % consented ii. % Trained at least 3 sessions iii. Number of sessions missed. iv. Subjective & objective scores of carers confidence post training v. % using mHealth app at least once spontaneously after home discharge vi. % 1 week home visits completed vii. Data entry (completion) b. Clinical Timepoint: Till 30 days after ready for step down/ discharge | — |
Countries
India
Contacts
Public ContactDr Swagata Tripathy
AIIMS Bhubaneswar
Outcome results
None listed