Impact on Mental, Physical, And Cognitive Functioning of a Critical Care sTay During the COVID-19 Pandemic (IMPACCT)

Universidad del Desarrollo

Status: Completed

Conditions: Critical Care; Covid19; Postintensive Care Syndrome

Treatments: Other: Intensive care unit stay during the COVID-19 pandemic

Study type: Observational

Funder types: Other

Identifiers

NCT04979897

2020-78

Details and patient eligibility

About

Intensive care unit (ICU) survivors and their families frequently present mental, cognitive and physical impairments lasting years. The ongoing pandemic could affect the duration, variety, and severity of these impairments. Our aim is to determine the impact of the COVID-19 pandemic on the physical, mental, and cognitive health of survivors, the experience of their families and their treating healthcare professionals in the long-term.

This is a prospective, multicentre, mixed-methods cohort study in seven Chilean ICUs. The perceptions of family members regarding the ICU stay and the later recovery will be explored 3 months after discharge. Health care professionals will be invited to discuss the challenges faced during the pandemic using semi-structured interviews.

Enrollment: 252 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients (≥18 years old)
• Mechanically ventilated for at least 48 hours

Exclusion criteria

• Unable to walk independently 2 weeks prior to ICU admission (with or without a gait aid)
• S5q < 5 or CAM-ICU positive within 72 hours after ICU discharge
• Patient who do not understand or speak Spanish
• Patient unable to communicate verbally
• Burn or severe trauma as admission diagnosis
• Any neurological disorder (i.e. spinal cord injury, stroke and brain tumours) as admission diagnosis
• Transferred to a non-participating study centre before ICU discharge assessment
• Recent prolonged hospital stay (extended by more than 3 months)

Trial design

252 participants in 2 patient groups

Intensive care unit stay during high bed occupancy in the COVID-19 pandemic

Description:

Adult patients (≥18 years old) who are mechanically ventilated for at least 48 hours in one of the participating ICUs during a high bed occupancy in the pandemic

Treatment:

Other: Intensive care unit stay during the COVID-19 pandemic

Intensive care unit stay during low bed occupancy in the COVID-19 pandemic

Description:

Adult patients (≥18 years old) who are mechanically ventilated for at least 48 hours in one of the participating ICUs during a low bed occupancy in the pandemic

Treatment:

Other: Intensive care unit stay during the COVID-19 pandemic