Intensive Care (ICU) Patients Clinical Trial
Official title:
Recovery and Aftercare in Post Intensive Care Therapy Patients - The RAPIT Study. The Effectiveness and Experiences of a Follow-up Program for Danish Mechanically Ventilated ICU Patients: A Pragmatic Randomized Controlled Multicentre Trial.
In 2010 alone were admitted 33,361 patients for treatment in Danish intensive care units.
There is evidence to former intensive care patients have a significant symptom burden that
affect recovery, function and activity for up to several years after admission to the
intensive care unit. For the individual patient involves the low quality of life, delayed
recovery, prolonged illness and healing process, and increased mortality. It requires that
health professionals should provide support so patients quicker return to their usual life.
Follow-up interviews with the staff after hospitalization in ICU have been shown to support
the patient and identify individual needs and symptoms that can lead to more realistic
expectations and increased well-being after admission in ICU. Follow-up in Denmark is being
inconsistent in both the number of hospitals that offer this service, and in the offered type
of service. Follow-up interviews with and without diaries suggest to improve physical and
mental well-being and health, with limited scientific evidence of the efficacy of these
interventions. We will investigate the effect of a standardized follow-up program after
admission to the intensive care unit, consisting of written information, patient photos taken
during hospitalization and three follow-up calls compared with standard care (discharge
without follow-up).
During a clinical study conducted in several intensive care units in Denmark examined whether
follow-up calls can improve patients' well-being and health, as well as the meaning of the
follow-up program has on the patient's everyday life in the first year after hospitalization
in the ICU.
The investigation contribute knowledge to the international research by revealing symptom
burden and efficacy of a follow-up program for up to 1 year after admission to the ICU in
order to be able to target rehabilitation efforts and improved the quality of life. It will
be innovative to use the results from a clinical study as a foundation for a database, and
the method can serve as a precedent for evidence-based introduction of guidelines, database
registration and create the groundwork for future research in intensive care. This study is
expected to be profitable to society by preventing frequent readmissions, reduce medication
costs and fewer referrals to specialists and have a positive effect on retention to the labor
market. This will provide overall better use of society's expenses.
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