Perspektiven von Patienten nach einem prolongierten Aufenthalt auf Intensivstation bezüglich einer Intensiv-Nachsorgeambulanz: eine qualitative Interviewstudie

Bernardi, C; Weiß, Anja; Brandstetter, Susanne; Brandl, Magdalena; Blecha, Sebastian; Bein, Thomas; Apfelbacher, Christian

doi:10.1055/s-0038-1667792

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Against this background, a multidisciplinary stakeholder group composed of health care professionals, researchers, patients and next of kin conceptualized an ICU follow-up clinic intervention in a German university hospital. The intervention was developed in a participatory process as previously reported [ 26 – 28 ] and consists of three main components: information, consultation and networking (Fig. 1 ).…”

Section: Introductionmentioning

confidence: 99%

Piloting an ICU follow-up clinic to improve health-related quality of life in ICU survivors after a prolonged intensive care stay (PINA): feasibility of a pragmatic randomised controlled trial

Drewitz,

Hasenpusch,

Bernardi

et al. 2023

BMC Anesthesiol

View full text Add to dashboard Cite

Background ICU survivors often suffer from prolonged physical and mental impairments resulting in the so called “Post-Intensive Care Syndrome” (PICS). The aftercare of former ICU patients affected by PICS in particular has not been addressed sufficiently in Germany so far. The aim of this study was to evaluate the feasibility of a pragmatic randomised trial (RCT) comparing an intensive care unit (ICU) follow-up clinic intervention to usual care. Methods This pilot study in a German university hospital evaluated the feasibility of a pragmatic RCT. Patients were assigned in a 1:1 ratio to an ICU follow-up clinic intervention or to usual care. The concept of this follow-up clinic was previously developed in a participatory process with patients, next of kin, health care professionals and researchers. We performed a process evaluation and determined acceptability, fidelity, completeness of measurement instruments and practicality as feasibility outcomes. The RCT’s primary outcome (health-related quality of life) was assessed six months after ICU discharge by means of the physical component scale of the Short-Form-12 self-report questionnaire. Results The pilot study was conducted from June 2020 to May 2021 with 21 and 20 participants in the intervention and control group. Principal findings related to feasibility were 85% consent rate (N = 48), 62% fidelity rate, 34% attrition rate (N = 41) and 77% completeness of outcome measurements. The primary effectiveness outcome (health-related quality of life) could be measured in 93% of participants who completed the study (N = 27). The majority of participants (85%) needed assistance with follow-up questionnaires (practicality). Median length of ICU stay was 13 days and 85% (N = 41) received mechanical ventilation, median Sequential Organ Failure Assessment Score was nine. Six-month follow-up assessment was planned for all study participants and performed for 66% (N = 41) of the participants after 197 days (median). Conclusion The participatory developed intervention of an ICU follow-up clinic and the pragmatic pilot RCT both seem to be feasible. We recommend to start a pragmatic RCT on the effectiveness of the ICU follow-up clinic. Trial registration ClinicalTrials.gov US NLM, NCT04186468, Submission: 02/12/2019, Registration: 04/12/2019, https://clinicaltrials.gov/ct2/show/NCT04186468

show abstract

Section: Introductionmentioning

confidence: 99%

Piloting an ICU follow-up clinic to improve health-related quality of life in ICU survivors after a prolonged intensive care stay (PINA): feasibility of a pragmatic randomised controlled trial

Drewitz,

Hasenpusch,

Bernardi

et al. 2023

BMC Anesthesiol

View full text Add to dashboard Cite

show abstract

“…Against this background, a multidisciplinary stakeholder group composed of health care professionals, researchers, patients and next-of-kin conceptualized an ICU follow-up clinic intervention in a German university hospital. The intervention was developed in a participatory process as previously reported [23][24][25] and consists of three main components: information, consultation and networking (Fig. 1).…”

mentioning

confidence: 99%

Piloting an ICU follow-up clinic to improve health-related quality of life in ICU survivors after a prolonged intensive care stay (PINA): Feasibility of a pragmatic randomised controlled trial

Drewitz

Hasenpusch

Bernardi

et al. 2022

Preprint

View full text Add to dashboard Cite

Background ICU survivors often suffer from prolonged physical and mental impairments resulting in the so called “Post-Intensive Care Syndrome” (PICS). The aftercare of former ICU patients affected by PICS in particular has not been addressed sufficiently in Germany so far. The aim of this study was to evaluate the feasibility of a pragmatic randomized trial (RCT) comparing an intensive care unit (ICU) follow-up clinic intervention to usual care. Methods This pilot study in a German university hospital evaluated the feasibility of a pragmatic RCT. Patients were assigned in a 1:1 ratio to an ICU follow-up clinic intervention or to usual care. The concept of this follow-up clinic was previously developed in a participatory process with patients, relatives, health professionals and researchers. We performed a process evaluation and determined acceptability, fidelity, completeness of measurement instruments and practicality as feasibility outcomes. The RCT’s primary outcome (health-related quality of life) was assessed six months after ICU discharge by means of the physical component scale of the Short-Form-12 self-report questionnaire. Results Principal findings related to feasibility were 85% consent rate (N = 48), 34% attrition rate (N = 41) and 77% completeness of outcome measurements. 41 participants (15 women, median age 60 years) were included of whom 66% completed the study (12/21 in the intervention group, 15/20 in the control group). Median length of ICU stay was 13 days and 85% (N = 41) received mechanical ventilation, median Sequential Organ Failure Assessment Score was nine. 62% of the intervention group (N = 21) fully completed all components of the intervention (fidelity). Six-month follow-up assessment was planned for all study participants and performed after 197 days (median). The primary effectiveness outcome (health-related quality of life) could be measured in 93% of participants who completed the study (N = 27). Conclusion The participatory developed intervention of an ICU follow-up clinic and the pilot RCT both seem to be feasible. We recommend to start the pragmatic RCT on the effectiveness of the ICU follow-up clinic. Trial registration ClinicalTrials.gov US NLM, NCT04186468, Submission: 02/12/2019, Registration: 04/12/2019, https://clinicaltrials.gov/ct2/show/NCT04186468

show abstract

Perspektiven von Patienten nach einem prolongierten Aufenthalt auf Intensivstation bezüglich einer Intensiv-Nachsorgeambulanz: eine qualitative Interviewstudie

Cited by 2 publications

References 0 publications

Piloting an ICU follow-up clinic to improve health-related quality of life in ICU survivors after a prolonged intensive care stay (PINA): feasibility of a pragmatic randomised controlled trial

Piloting an ICU follow-up clinic to improve health-related quality of life in ICU survivors after a prolonged intensive care stay (PINA): feasibility of a pragmatic randomised controlled trial

Piloting an ICU follow-up clinic to improve health-related quality of life in ICU survivors after a prolonged intensive care stay (PINA): Feasibility of a pragmatic randomised controlled trial

Contact Info

Product

Resources

About