MICU Recovery Clinic

Wake Forest University (WFU)

Status: Completed

Conditions: Respiratory Failure; Critical Illness; ARDS; Sepsis

Treatments: Other: Questionnaires, Physical and Cognitive Function

Study type: Observational

Funder types: Other

Identifiers

NCT02560129

IRB00031295

Details and patient eligibility

About

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.

Full 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.

Enrollment: 14 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: Wake Forest MICU Admission

• sepsis OR
• respiratory failure requiring >24 hrs of invasive mechanical ventilation
• previously functional

Exclusion Criteria:

• Active Malignancy

Trial design

14 participants in 1 patient group

ICU Survivors

Description:

ICU survivors will be seen in a MICU Recovery Clinic where Questionnaires, Physical and Cognitive Function assessments will be measured

Treatment:

Other: Questionnaires, Physical and Cognitive Function