Critically Ill Clinical Trial
Official title:
Heterogeneity of Critical Illness: Exploring New Risk Factors for Severity of Disease in Intensive Care Patients. A Cohort Study
Rationale: There is large heterogeneity in disease states of critically ill patients at ICU
admittance and there is also large heterogeneity in their disease severity during ICU stay.
Still, some patients may show remarkable similarities in disease patterns. There is a lack of
understanding of causal mechanisms that lead to divergent outcomes in critically ill
patients, and at the same time different diseases may share common underlying, yet
unidentified, causal pathways that could explain similarities between different diseases.
Objective: To explore the association between patient characteristics and the severity of
organ failure in critically ill patients admitted to the ICU Study design: Prospective cohort
study Study population: Adult critically ill patients in the ICU Intervention (if
applicable): not applicable Main study parameters/endpoints: Maximum severity of organ
failure observed during ICU stay measured by the maximum SOFA score and quality of life at
one year follow-up
Nature and extent of the burden and risks associated with participation, benefit and group relatedness: <All patients will undergo physical examination, including ultrasound evaluation upon ICU admission according to standard practice care. The burden will be a blood sample (and urine sample) at admission. Blood sample will be obtained by arterial line (or venous access) which is part of standard ICU care. So there will be no additional puncture for this study. Collection of variables during ICU stay will all be either part of standard clinical care or include extra physical examination or ultrasound evaluation. For follow-up patients will be evaluated by phone at 6 months and at 12 months by home-visit. This is also already part of the investigator's evaluation of quality of care. Except for blood sampling, all study related procedures have previously been approved by the Institutional Review Board (IRB). The patient will experience no individual benefit. ;
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