Bleeding, Coma, Critical Illness, Respiratory Failure, Sepsis, Shock, Trauma
Conditions
Keywords
CERTAIN, Checklist, ICU, Outcome, Adults
Brief summary
The purpose of the study is to test whether the health care provider access and training in CERTAIN (Checklist for Early Recognition and Treatment of Acute Illness), would facilitate timely and error free best-practice delivery and minimize preventable death and costly complications in critically ill patients.
Interventions
This study is about training and implementation of best critical care practices in the international ICUs with variable resources facilitated by access to a specifically designed electronic checklist
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion: All adult (≥ 18 years) patients admitted for the first time to the participating ICUs will be included. Exclusion: Not critically Ill, admitted for low risk monitoring, planned ICU admissions for routine postoperative surveillance for less than 24 hours after uncomplicated surgery, readmission and transferred from outside ICU.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to best critical care practices | Participants will be followed for the duration of ICU stay, an expected average of 2 weeks | Adherence to best practice in initial evaluation and treatment of critically ill medical and surgical patients Appropriate shock resuscitation Appropriate sepsis treatment Appropriate mechanical ventilation Appropriate peptic ulcer, deep vein thrombosis and infectious disease prophylaxis |
| ICU and hospital lengths of stay | Participants will be followed for the duration of hospital stay, an expected average of 8 weeks | Patient will be followed till they get discharged from hospital for whatever length they stay. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality for 4 weeks | Participants will be followed for the duration of 4 weeks and hospital discharge (up to 10 weeks post discharge) | Patient will be followed for 4 weeks and hospital discharge(up to total 10 weeks post discharge) |
Countries
Belarus, Bosnia and Herzegovina, Brazil, China, Croatia, Dominican Republic, India, Ireland, Mexico, Mongolia, Pakistan, Philippines, Poland, Saudi Arabia, Serbia, Turkey (Türkiye), Uganda