REhabilitation After Critical Illness Assisted Discharge Pack (RECAP)

Summary

The complexity of critical illness can result in both physical and psychological consequences for survivors, which can extend past the intensive unit care stay and after hospital discharge. A need for information and empowerment in the recovery process are highlighted for developing treatment strategies. It is suggested that there is a relationship between physical problems and psychological symptoms, but this has not been researched. This pilot study aims to test the effectiveness of a physiotherapy directed Rehabilitation after Critical illness Assisted discharge Pack (RECAP) on the physical and psychological function of patients recovering from critical illness in the first three weeks post discharge from ICU to the general ward area. The study will rely on a randomized controlled clinical trial design, with patients assigned to either a "usual care" control group vs. the treatment group. It is expected that engaging patients in their rehabilitation plan will focus physiotherapy treatment and improve physical recovery. It is hypothesized that the RECAP will reassure, support and empower patients to directly affect their psychological recovery in the first three weeks after critical illness.

Conditions

• Critical Illness

Interventions

OTHER

RECAP

Patients will receive an information pack at ICU discharge called the RECAP. This pack will include * Part 1: A critical care discharge summary (UCCDIP) (Bench and Day, 2012) * Part 2: A rehabilitation goal setting care plan * Part 3: A patient communication forum * Part 4: Useful supports and contact information * Part 5: Tailored exercise programme The patient will have a consultation with the ICU physiotherapist before ICU discharge once weekly thereafter for 3 weeks . The focus of the session will be to discuss goal attainment and associated challenges. The ICU therapist will meet once weekly with the patient's primary physiotherapist to provide clinical support if necessary, in determining the patient's needs post critical care.

OTHER

Control

Participants allocated to the control group will receive standard physiotherapy intervention post ICU discharge

Sponsors & Collaborators

• University of Ulster

  collaborator OTHER

• St Vincent's University Hospital, Ireland

  collaborator OTHER

• Maire Gilmartin

  lead OTHER

Principal Investigators

• Martina Fitzpatrick · Physiotherapy Manager (Temporary), St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2014-11-30

Primary Completion

2015-06-30

Completion

2015-07-31

Countries

• Ireland

Study Locations