Vanderbilt ICU Recovery Program Pilot Trial
| Status: | Completed |
|---|---|
| Conditions: | Neurology, Psychiatric |
| Therapuetic Areas: | Neurology, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/13/2019 |
| Start Date: | May 1, 2017 |
| End Date: | April 30, 2018 |
Every year, millions of Americans are admitted to the intensive care unit. Due to advances in
critical care, mortality rates are decreasing, increasing the number of ICU survivors.
Survivors of critical illness, however, often face physical, functional, and cognitive
deficits that place them at risk for a cycle of re-hospitalization that frequently culminates
in premature death. Moreover, post-ICU interventions may be resource-intensive and may be
most cost-effective only in a subgroup of patients at highest risk. Whether a
multi-disciplinary program to facilitate recovery from critical illness can prevent hospital
readmission and improve quality of life among high-risk ICU survivors remains unknown. The
primary aim of this pilot is to examine the feasibility of implementing a multidisciplinary
ICU Recovery Program and the influence of such a program on process measures including
contact with the ICU recovery team and attendance of ICU recovery clinic. The secondary aims
are to compare the effect of an ICU Recovery Program on 30-day same-hospital readmission and
other clinical outcomes.
critical care, mortality rates are decreasing, increasing the number of ICU survivors.
Survivors of critical illness, however, often face physical, functional, and cognitive
deficits that place them at risk for a cycle of re-hospitalization that frequently culminates
in premature death. Moreover, post-ICU interventions may be resource-intensive and may be
most cost-effective only in a subgroup of patients at highest risk. Whether a
multi-disciplinary program to facilitate recovery from critical illness can prevent hospital
readmission and improve quality of life among high-risk ICU survivors remains unknown. The
primary aim of this pilot is to examine the feasibility of implementing a multidisciplinary
ICU Recovery Program and the influence of such a program on process measures including
contact with the ICU recovery team and attendance of ICU recovery clinic. The secondary aims
are to compare the effect of an ICU Recovery Program on 30-day same-hospital readmission and
other clinical outcomes.
Inclusion Criteria:
1. Age ≥ 18 years
2. Admitted to the Medical Intensive Care Unit (MICU) at Vanderbilt University Medical
Center for at least 48 hours
3. Estimated risk of 30-day same-hospital readmission greater than 15%
4. Not previously enrolled in the study.
Exclusion Criteria:
1. Long-term residence at a skilled nursing facility
2. Long-term mechanical ventilation prior to admission
3. Solid organ or stem cell transplantation
4. Recorded primary residency > 200 miles from Vanderbilt
5. Comfort care only
We found this trial at
1
site
1211 Medical Center Dr
Nashville, Tennessee 37232
Nashville, Tennessee 37232
(615) 322-5000
Phone: 615-322-3412
Vanderbilt Univ Med Ctr Vanderbilt University Medical Center (VUMC) is a comprehensive healthcare facility dedicated...
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