MICU Recovery Clinic

  • STATUS
    Recruiting
  • End date
    Dec 28, 2023
  • participants needed
    250
  • sponsor
    Wake Forest University Health Sciences
Updated on 28 January 2021
sepsis
mechanical ventilation
critical illness
respiratory failure
assisted breathing
assisted ventilation

Summary

Summary: Emerging data demonstrate long-term morbidity and mortality in those who survive critical illness. However, there is no data regarding long-term follow-up for ICU survivors. The investigators have begun the implementation of an ICU recovery clinic.

Rationale

ICU survivors are at high risk for functional, cognitive and psychiatric impairments. However, methods to mitigate these impairments and improve recovery are lacking. Special follow-up clinics for survivors of critical illness have been proposed and implemented to some degree, but are uncommon.

Description

Objectives
  1. To evaluate physical function, cognitive function, and overall functional status during recovery from critical illness.
  2. To evaluate anxiety, depression, and PTSD during recovery from critical illness.
  3. To evaluate resilience during recovery from critical illness.
  4. To evaluate healthcare utilization rates, morbidity, and mortality following critical illness.
  5. Added April 2016: To study the voice and swallowing function of patients following recovery from critical illness.
  6. Added April 2016: To study the pain of patients following recovery from critical illness.
    Intervention

A prospective observational study of all patients who attend our ICU recovery clinic.

Methods

Patients will be identified for participation in our ICU Recovery Clinic during their admission to the Wake Forest Baptist Medical Center Medical Intensive Care Unit (MICU). They will be asked to return to the ICU recovery clinic within 1 month of hospital discharge. Structured clinic visits as standard of care will include medication reconciliation and evaluation by a pharmacist, along with an evaluation by a clinic physician to address acute medical issues and provide counselling. They will also undergo standardized testing to evaluate physical function, cognitive function, and psychiatric function. Added April 2016: They will also undergo a standardized evaluation of speech, swallow, and pain.

Details
Condition Respiratory Failure, Septicemia, ADULT RESPIRATORY DISTRESS SYNDROME, Critical Illness, Sepsis and Septicemia, Acute Respiratory Distress Syndrome (ARDS), critically ill, systemic infection, systemic infections, acute respiratory distress syndrome, ards, sepsis, sepsis syndrome
Treatment Questionnaires, Physical and Cognitive Function
Clinical Study IdentifierNCT02560129
SponsorWake Forest University Health Sciences
Last Modified on28 January 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Wake Forest MICU Admission
sepsis OR
respiratory failure requiring >24 hrs of invasive mechanical ventilation
previously functional

Exclusion Criteria

Active Malignancy
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