IC-physician vs. Qualified IC-nurse-based interhospital critical care transport (IQ-transport) study.

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON24056

Enrollment

300

Registered

2006-01-25

Start date

2006-02-01

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

interhospital transport by Mobile Intensive Care Unit

Interventions

Study strategies 1. Transport will be performed by a physician-based team: an IC-trained physician will accompany a registered IC-nurse 2. Transport will be performed solely by a registered IC-nurse.

however, the physician does not play any role in treatment of patient until a formal request is made by the IC-nurse. In both strategies the ambulance crew is present.

Eligibility

Inclusion criteria

Inclusion criteria: Consecutive IC-patients (> 18 years of age) transported by the Mobile Intensive Care Unit, Academic Medical Center, University of Amsterdam.

Exclusion criteria

Exclusion criteria: IC-patients considered to be too instable to be transported without a physician as team member (one or more of the following criteria: 1. Pa02/Fi02 15; 2. Mean arterial pressure 0,35 kg/microg/min, dopamine > 15 kg/microg/min); 3. Episode of resuscitation (chest compression or cardiac defibrilliation) in 24 hours before interhospital transport.

Design outcomes

Primary

Measure	Time frame
Incidence of critical events defined as: 1. Related to intensive care (lead disconnections, loss of battery power or any other technical equipment failure, airway loss requiring airway manipulation or reintubation, loss of any intravascular device, dislodgment of any thoracostomy tube, Foley catheter, or surgical drain); 2. Clinical deteriorations related to critical illness (death, decrease in arterial saturation of >10% for >10 mins, undesired rise or fall in arterial bloodpressure (systolic, diastolic or mean, defined as >20 mm Hg from baseline for >10 mins), hemorrhage or blood loss estimated to be >250 ml, new cardiac arrhythmias with associated hemodynamic deterioration or are generally accepted as requiring urgent therapy (occasional premature ventricular or atrial contractions were not considered significant), temperature fall below 36 degrees Celsius.	—

Measure

Time frame

Incidence of critical events defined as: 1. Related to intensive care (lead disconnections, loss of battery power or any other technical equipment failure, airway loss requiring airway manipulation or reintubation, loss of any intravascular device, dislodgment of any thoracostomy tube, Foley catheter, or surgical drain); 2. Clinical deteriorations related to critical illness (death, decrease in arterial saturation of >10% for >10 mins, undesired rise or fall in arterial bloodpressure (systolic, diastolic or mean, defined as >20 mm Hg from baseline for >10 mins), hemorrhage or blood loss estimated to be >250 ml, new cardiac arrhythmias with associated hemodynamic deterioration or are generally accepted as requiring urgent therapy (occasional premature ventricular or atrial contractions were not considered significant), temperature fall below 36 degrees Celsius.

—

Contacts

Public ContactE.J. Lieshout, van

Academic Medical Center (AMC), Department of Intensive Care and Mobile Intensive Care Unit (MICU), P.O. Box 22660

e.j.vanlieshout@amc.nl+31 (0)20 5665043

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)