Prognostic Estimates Among ICU Clinicians

Rush

Status: Enrolling

Conditions: Mechanical Ventilation

Treatments: Behavioral: ProVent-14 score

Study type: Interventional

Funder types: Other

Identifiers

NCT06452797

24030801

Details and patient eligibility

About

One challenge with decision making for mechanically ventilated is that their prognosis is often uncertain. The ProVent-14 score incorporates clinical variables measured on the 14th day of mechanical ventilation to predict risk of death in one year. The ProVent-14 is easy to calculate has been externally validated. However, it is unclear how often clinicians use the ProVent-14 score to predict long-term outcomes for patients requiring 14 days of mechanical ventilation or if it helps clinicians make more accurate predictions. The purpose of this study is to determine whether ICU clinicians who receive a patient's ProVent-14 score make more accurate predictions for mortality at one year than ICU clinicians who do not.

Enrollment: 238 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• ICU day-shift attending physician, fellow physician, advanced practice provider, or nurse
• Caring directly for a patient who requires invasive mechanical ventilation, 14-16 days after initial intubation, not actively transitioning to comfort-focused care and not with a neuromuscular disease (i.e. ALS) as a cause of respiratory failure.

Exclusion criteria

• None

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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238 participants in 2 patient groups

Usual Prognostic Approach

No Intervention group

Description:

Participants will make form a prognosis using their usual approach

ProVent-14 Guided Prognostic Approach

Experimental group

Description:

Participants will be asked to form a prognosis after being provided the patient's ProVent-14 score and its meaning

Treatment:

Behavioral: ProVent-14 score