Quality of Life and Functional Capacity in Post Intensive Care Unit

Post-intensive Care Syndrome Clinical Trial

Official title:

Evolution and Follow-up of the Quality of Life and Functional Capacity, in Patients Admitted in Ward Room, Post-hospitality in the Intensive Care Unit. Descriptive Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05149430
• Other study ID #: SAnchorenaSanMartin
• Status: Completed
• Start date: August 1, 2019
• Est. completion date: March 31, 2020

Study information

• Verified date: February 2022
• Source: Sanatorio Anchorena San Martin
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

BACKGROUND. Staying in an intensive care unit can lead to physical and cognitive complications and post-traumatic stress. Currently, the aim is to find out the level of quality of life, functional capacity and cognitive status post intensive care unit. Describe the evolution of the quality of life, functional capacity and cognitive status of a cohort of patients admitted to the ward room after discharge from the intensive care unit, with subsequent follow-up at 3, 6 and 12 months of his discharge. METHODS. Prospective, observational, analytical cohort study. Subjects over 18 years of age with at least 48 hours of confinement in a closed area were included. Demographic variables, quality of life, functional capacity and cognitive status were recorded. A telephone follow-up was carried out three, six and twelve months after institutional discharge. For the evaluation of the primary variables, Euroqol 5d-5L (Eq5d - Eq5d-VAS), Barthel Index and Fototest were used.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 101
• Est. completion date: March 31, 2020
• Est. primary completion date: September 30, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• All patients over 18 years old
• At least 48 hours in the ICU
• Who subsequently entered the Clinical Ward Room
• Who signed the informed consent

Exclusion Criteria:

• Those patients who received invasive mechanical ventilation in the last 6 months
• Who had been admitted to an ICU in the last 6 months
• Patients who cannot answer the questionnaires on their own or who do not have relatives to answer them
• Patients with progressive degenerative neurological pathology.
• Patients diagnosed with cancer with a life expectancy of less than 12 months according to the criteria of the oncologist.

Related Conditions & MeSH terms

• Post-intensive Care Syndrome

Intervention

Other:
• Observational Quality of life and functional capacity
Observational Quality of life and functional capacity

Locations

Country	Name	City	State
Argentina	Matias Bertozzi	Buenos Aires

Sponsors (5)

Lead Sponsor	Collaborator
Sanatorio Anchorena San Martin	Accoce Matias, Cagide Sabrina, Di giorgio Victoria, Villalba Dario

Country where clinical trial is conducted

Argentina, 

References & Publications (29)

Augustovski FA, Irazola VE, Velazquez AP, Gibbons L, Craig BM. Argentine valuation of the EQ-5D health states. Value Health. 2009 Jun;12(4):587-96. doi: 10.1111/j.1524-4733.2008.00468.x. Epub 2008 Nov 12. — View Citation

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Carnero-Pardo C, Sáez-Zea C, De la Vega Cotarelo R, Gurpegui M; en nombre del grupo FOTOTRANS. [FOTOTRANS study: multicentre study on the validity of Fototest under clinical practice conditions]. Neurologia. 2012 Mar;27(2):68-75. doi: 10.1016/j.nrl.2011.06.001. Epub 2011 Sep 1. Spanish. — View Citation

Das Neves AV, Vasquez DN, Loudet CI, Intile D, Sáenz MG, Marchena C, Gonzalez AL, Moreira J, Reina R, Estenssoro E. Symptom burden and health-related quality of life among intensive care unit survivors in Argentina: A prospective cohort study. J Crit Care. 2015 Oct;30(5):1049-54. doi: 10.1016/j.jcrc.2015.05.021. Epub 2015 Jun 3. — View Citation

Della Pietra GL, Savio K, Oddone E, Reggiani M, Monaco F, Leone MA. Validity and reliability of the Barthel index administered by telephone. Stroke. 2011 Jul;42(7):2077-9. doi: 10.1161/STROKEAHA.111.613521. Epub 2011 Apr 28. — View Citation

Dettling-Ihnenfeldt DS, Wieske L, Horn J, Nollet F, van der Schaaf M. Functional Recovery in Patients With and Without Intensive Care Unit-Acquired Weakness. Am J Phys Med Rehabil. 2017 Apr;96(4):236-242. doi: 10.1097/PHM.0000000000000586. — View Citation

Diaz Ballve LP, Dargains N, Urrutia Inchaustegui JG, Bratos A, Milagros Percaz M, Bueno Ardariz C, Cagide S, Balestrieri C, Gamarra C, Paz D, Rotela E, Muller S, Bustos F, Aranda Castro R, Settembrino E. Weakness acquired in the intensive care unit. Incidence, risk factors and their association with inspiratory weakness. Observational cohort study. Rev Bras Ter Intensiva. 2017 Oct-Dec;29(4):466-475. doi: 10.5935/0103-507X.20170063. Epub 2017 Dec 7. English, Spanish. — View Citation

Dinglas VD, Faraone LN, Needham DM. Understanding patient-important outcomes after critical illness: a synthesis of recent qualitative, empirical, and consensus-related studies. Curr Opin Crit Care. 2018 Oct;24(5):401-409. doi: 10.1097/MCC.0000000000000533. Review. — View Citation

Duarte PAD, Costa JB, Duarte ST, Taba S, Lordani CRF, Osaku EF, Costa CRLM, Miglioranza DC, Gund DP, Jorge AC. Characteristics and Outcomes of Intensive Care Unit Survivors: Experience of a Multidisciplinary Outpatient Clinic in a Teaching Hospital. Clinics (Sao Paulo). 2017 Dec;72(12):764-772. doi: 10.6061/clinics/2017(12)08. — View Citation

Eggmann S, Luder G, Verra ML, Irincheeva I, Bastiaenen CHG, Jakob SM. Functional ability and quality of life in critical illness survivors with intensive care unit acquired weakness: A secondary analysis of a randomised controlled trial. PLoS One. 2020 Mar 4;15(3):e0229725. doi: 10.1371/journal.pone.0229725. eCollection 2020. — View Citation

Fan E, Dowdy DW, Colantuoni E, Mendez-Tellez PA, Sevransky JE, Shanholtz C, Himmelfarb CR, Desai SV, Ciesla N, Herridge MS, Pronovost PJ, Needham DM. Physical complications in acute lung injury survivors: a two-year longitudinal prospective study. Crit Care Med. 2014 Apr;42(4):849-59. doi: 10.1097/CCM.0000000000000040. — View Citation

Griffiths J, Hatch RA, Bishop J, Morgan K, Jenkinson C, Cuthbertson BH, Brett SJ. An exploration of social and economic outcome and associated health-related quality of life after critical illness in general intensive care unit survivors: a 12-month follow-up study. Crit Care. 2013 May 28;17(3):R100. doi: 10.1186/cc12745. — View Citation

Hermans G, Van den Berghe G. Clinical review: intensive care unit acquired weakness. Crit Care. 2015 Aug 5;19:274. doi: 10.1186/s13054-015-0993-7. Review. — View Citation

Hermans G, Van Mechelen H, Clerckx B, Vanhullebusch T, Mesotten D, Wilmer A, Casaer MP, Meersseman P, Debaveye Y, Van Cromphaut S, Wouters PJ, Gosselink R, Van den Berghe G. Acute outcomes and 1-year mortality of intensive care unit-acquired weakness. A cohort study and propensity-matched analysis. Am J Respir Crit Care Med. 2014 Aug 15;190(4):410-20. doi: 10.1164/rccm.201312-2257OC. — View Citation

Herridge MS, Cheung AM, Tansey CM, Matte-Martyn A, Diaz-Granados N, Al-Saidi F, Cooper AB, Guest CB, Mazer CD, Mehta S, Stewart TE, Barr A, Cook D, Slutsky AS; Canadian Critical Care Trials Group. One-year outcomes in survivors of the acute respiratory distress syndrome. N Engl J Med. 2003 Feb 20;348(8):683-93. — View Citation

Herridge MS, Tansey CM, Matté A, Tomlinson G, Diaz-Granados N, Cooper A, Guest CB, Mazer CD, Mehta S, Stewart TE, Kudlow P, Cook D, Slutsky AS, Cheung AM; Canadian Critical Care Trials Group. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med. 2011 Apr 7;364(14):1293-304. doi: 10.1056/NEJMoa1011802. — View Citation

Hopkins RO, Miller RR 3rd, Rodriguez L, Spuhler V, Thomsen GE. Physical therapy on the wards after early physical activity and mobility in the intensive care unit. Phys Ther. 2012 Dec;92(12):1518-23. doi: 10.2522/ptj.20110446. Epub 2012 Apr 5. — View Citation

Linko R, Suojaranta-Ylinen R, Karlsson S, Ruokonen E, Varpula T, Pettilä V; FINNALI study investigators. One-year mortality, quality of life and predicted life-time cost-utility in critically ill patients with acute respiratory failure. Crit Care. 2010;14(2):R60. doi: 10.1186/cc8957. Epub 2010 Apr 12. — View Citation

Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, Zawistowski C, Bemis-Dougherty A, Berney SC, Bienvenu OJ, Brady SL, Brodsky MB, Denehy L, Elliott D, Flatley C, Harabin AL, Jones C, Louis D, Meltzer W, Muldoon SR, Palmer JB, Perme C, Robinson M, Schmidt DM, Scruth E, Spill GR, Storey CP, Render M, Votto J, Harvey MA. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference. Crit Care Med. 2012 Feb;40(2):502-9. doi: 10.1097/CCM.0b013e318232da75. Review. — View Citation

Parker A, Sricharoenchai T, Needham DM. Early Rehabilitation in the Intensive Care Unit: Preventing Physical and Mental Health Impairments. Curr Phys Med Rehabil Rep. 2013 Dec;1(4):307-314. — View Citation

Pintado MC, Villa P, Luján J, Trascasa M, Molina R, González-García N, de Pablo R. Mortality and functional status at one-year of follow-up in elderly patients with prolonged ICU stay. Med Intensiva. 2016 Jun-Jul;40(5):289-97. doi: 10.1016/j.medin.2015.08.002. Epub 2015 Dec 23. English, Spanish. — View Citation

Rollinson TC, Connolly B, Berlowitz DJ, Berney S. Physical activity of patients with critical illness undergoing rehabilitation in intensive care and on the acute ward: An observational cohort study. Aust Crit Care. 2021 Aug 10. pii: S1036-7314(21)00096-5. doi: 10.1016/j.aucc.2021.06.005. [Epub ahead of print] — View Citation

Rydingsward JE, Horkan CM, Mogensen KM, Quraishi SA, Amrein K, Christopher KB. Functional Status in ICU Survivors and Out of Hospital Outcomes: A Cohort Study. Crit Care Med. 2016 May;44(5):869-79. doi: 10.1097/CCM.0000000000001627. — View Citation

Sacanella E, Pérez-Castejón JM, Nicolás JM, Masanés F, Navarro M, Castro P, López-Soto A. Functional status and quality of life 12 months after discharge from a medical ICU in healthy elderly patients: a prospective observational study. Crit Care. 2011;15(2):R105. doi: 10.1186/cc10121. Epub 2011 Mar 28. — View Citation

Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703-9. — View Citation

Spragg RG, Bernard GR, Checkley W, Curtis JR, Gajic O, Guyatt G, Hall J, Israel E, Jain M, Needham DM, Randolph AG, Rubenfeld GD, Schoenfeld D, Thompson BT, Ware LB, Young D, Harabin AL. Beyond mortality: future clinical research in acute lung injury. Am J Respir Crit Care Med. 2010 May 15;181(10):1121-7. doi: 10.1164/rccm.201001-0024WS. Epub 2010 Mar 11. — View Citation

Steenbergen S, Rijkenberg S, Adonis T, Kroeze G, van Stijn I, Endeman H. Long-term treated intensive care patients outcomes: the one-year mortality rate, quality of life, health care use and long-term complications as reported by general practitioners. BMC Anesthesiol. 2015 Oct 12;15:142. doi: 10.1186/s12871-015-0121-x. — View Citation

Williams TA, Dobb GJ, Finn JC, Knuiman MW, Geelhoed E, Lee KY, Webb SA. Determinants of long-term survival after intensive care. Crit Care Med. 2008 May;36(5):1523-30. doi: 10.1097/CCM.0b013e318170a405. — View Citation

* Note: There are 29 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Quality of life	It is the perception that an individual has of his place in existence, in the context of the culture and the value system in which he lives. This aspect was evaluated using the EuroQol Group EQ-5D-5L (EQ-5D-5L) tool.	2019 - 2020
Primary	Functional capacity	Functional capacity refers to the capability of performing tasks and activities that people find necessary or desirable in their lives. It was assessed using the Barthel Index (IB) tool.	2019 - 2020
Primary	Cognitive status	Cognitive impairment is when a person has trouble remembering, learning new things, concentrating, or making decisions that affect their everyday life.. It was evaluated by Fototest, it is a cognitive test, which includes several domains, language (denomination), executive tasks (verbal fluency) and episodic memory either free or facilitated by keys.	2019 - 2020

External Links

•   Das Neves A, Busico M, Yanes N. Síndrome post terapia intensiva. Evaluación, prevención y seguimiento. En: Programa de actualización en kinesiología intensivista (PROAKI), ciclo 2, módulo 4. Editorial Médica Panamericana. Vol. 4. 2015.
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