Recovery and Aftercare in Post Intensive Care Therapy Patients - RAPIT Study

Summary

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.

Conditions

• Intensive Care (ICU) Patients

Interventions

OTHER

Standardized Followup program

Standardized written information, patient photos and three followup consultations.

Sponsors & Collaborators

• Herlev Hospital

  collaborator OTHER

• Rigshospitalet, Denmark

  collaborator OTHER

• Nykøbing Falster County Hospital

  collaborator OTHER

• Odense University Hospital

  collaborator OTHER

• Sonderborg Hospital

  collaborator OTHER_GOV

• Region of Southern Denmark

  collaborator OTHER

• Regionshospitalet Horsens

  collaborator OTHER

• Naestved Hospital

  collaborator OTHER

• Hillerod Hospital, Denmark

  lead OTHER

Principal Investigators

• Janet F Jensen, PhD-student · Hillerod Hospital, department of Anaesthesiology

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2012-12-01

Primary Completion

2016-02-29

Completion

2016-10-31

Countries

• Denmark

Study Locations