G00-G99 Z99.0
Conditions
Interventions
Group 1: Intervention group: receives new form of care with additional assessments, team conferences, and feedback, and if possible, inpatient assessment and interval rehabilitation as a follow-up.
Gr
Sponsors
Klinikum der Universität München
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Age of majority - Inpatient treatment in the neurological early rehabilitation with neurological rehabilitation diagnosis - Presence of mechanical ventilation and/or TC. - Acute onset of illness < 10 months - Planned discharge to AIP in Bavaria - Existing informed consent for study participation
Exclusion criteria
Exclusion criteria: - Palliative treatment/life expectancy according to medical assessment < 12 months - Weaning/decanulation medically ruled out (e.g., high cervical spinal cord injury, laryngeal tumor) - Pre-existing AIP - Progressive neuromuscular disease (e.g. Muscular dystrophy, ALS)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of patients in the intervention group compared to the control group who could be weaned from mechanical ventilation and/or TC one year after the start of treatment in the AIP | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinical factors (standardized scores using questionnaires and clinical scales, respectively): TC and ventilatory status and modalities. Mortality Neurological status Activities of daily living (ATL) Quality of life (QOL)/depression, anxiety Relative burden Care situation Satisfaction with care situation (use of AIP / living arrangements) Utilization of health care (medication, remedies, hospital treatment) Complications/side effects Additional health economic factors: Indirect and direct costs of the intervention Analysis of pseudonymized AOK routine data Cost-benefit analysis of the new form of treatment | — |
Countries
Germany
Contacts
Public ContactAndreas Bender
Neurologische Klinik, Klinikum der Universität München
Outcome results
None listed