Post Intensive Care Syndrome (PICS)
Conditions
Brief summary
The goal of this pilot randomized controlled trial is to determine if a randomized controlled trial of a collaborative pharmacist-intensivist telehealth follow-up after intensive care unit discharge can feasibly be performed in patients who have survived a critical illness. The study intervention will be telehealth follow-up appointments provided by clinical pharmacists at approximately one and three months post-hospital discharge. The purpose of the follow-up appointments will be to assess for post-intensive care syndrome and provide recommend interventions aimed at improving recovery Participants will randomized to receive the study intervention or standard of care.
Interventions
BEHAVIORALPost-ICU Telehealth Follow-up
The post-ICU clinic follow-up will be conducted by a pharmacist via a telehealth visit. A collaborating physician (i.e. intensivist) will provide clinical support and oversight as needed. The appointments will be 30-60 minute telephone/video calls. Participants be assessed for PICS and recommended interventions to improve their care.
Sponsors
Malcom Randall VA Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
No
Inclusion criteria
* Adults 18-89 years of age * Required admission to either medical or surgical ICU * Respiratory failure requiring invasive mechanical ventilation of at least 24 hours during ICU stay; or ICU stay of at least 7 days * Anticipated discharge to home after hospitalization * Consent from patients themselves or a legally authorized representative if necessary
Exclusion criteria
* Pregnancy * Incarceration/Imprisonment * Life expectancy less than 6 months or enrolled in hospice/palliative care * Anticipated discharge to skilled nursing facility, medical rehabilitation facility, or other long terms care facility * Unable to participate in telehealth
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Completion of Post-ICU follow-up | From enrollment to end of follow-up period at seven months | Percentage of patients completing post-ICU follow-up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life at 6 months using the Short Form Survey (SF-36) | From enrollment to 7 months | Medical Outcomes Study (MOS) 36-Item Short Form Health Survey (SF-36). Scores 0-100, higher scores indicating more favorable health state. |
| Hospital or ICU re-admissions | Enrollment up to 7 months | — |
| Emergency department visits | Enrollment up to 7 months | — |
| Mortality | within 6 months post-hospital discharge | — |
Countries
United States
Contacts
Primary ContactAndrew J Franck, Pharm.D.
Outcome results
None listed