Integrated Recovery Program for Critical Illness
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: LINE Bot-Based Remote Care Combined with In-Person Post-ICU Clinic.
- Кому может быть актуально
- Состояния в реестре: ICU Survivors. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Тайвань
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Integrated Critical Illness Aftercare and Recovery Enhancement (I-CARE) Program
Обзор
This study aims to investigate the effects of the Integrated Critical Illness Aftercare and Recovery Enhancement (I-CARE) program on reducing healthcare burden and improving functional outcomes in ICU survivors. The I-CARE program combines remote support via LINE Bot Care with in-person post-ICU recovery clinic visits. The study will assess whether this integrated care model reduces unplanned hospital readmissions and emergency department visits within six months after discharge, and improves physical and cognitive outcomes at 3 and 6 months post-discharge. Additionally, the study will evaluate the impact of a built-in patient-nurse interaction feature on ICU nurses' burnout and intention to leave, measured every six months over a two-year period.
Подробное описание
This randomized clinical trial is designed to evaluate the effectiveness of the Integrated Critical Illness Aftercare and Recovery Enhancement (I-CARE) program for survivors of critical illness discharged from the intensive care unit (ICU). The I-CARE program integrates a LINE Bot-based remote monitoring and support system with structured, in-person post-ICU recovery clinic visits. The primary objective is to determine whether this comprehensive care model can reduce the incidence of unplanned hospital readmissions and emergency department visits within six months after hospital discharge.
Secondary outcomes focus on functional recovery and include assessments of physical mobility (e.g., ability to transition from sit to stand), inspiratory muscle strength, body weight changes, presence of dysphagia, and cognitive function at 3 and 6 months post-discharge.
In addition, the LINE Bot Care system incorporates an interactive feature titled "Thanks to Nurses," which enables ICU survivors to share personal reflections, such as short messages, photos, diary entries, stickers, and audio clips, with their ICU care team. This bidirectional communication channel is intended to enhance emotional support and foster a sense of connection between patients and healthcare providers. The study will evaluate the impact of this feature on ICU nurses' professional well-being, specifically measuring levels of burnout and intention to leave the profession at 6, 12, 18, and 24 months after implementation, using a pre-post intervention design.
Вмешательства
- Поведенческое LINE Bot-Based Remote Care Combined with In-Person Post-ICU Clinic
Participants in this group will receive the I-CARE intervention, which includes two components: (1) a LINE Bot-based remote care system providing scheduled health education, functional assessments, and reminders tailored to ICU survivors, and (2) structured in-person visits to a post-ICU recovery clinic, where multidisciplinary professionals provide follow-up assessments and individualized rehabilitation guidance. The LINE Bot also features an interactive module ("Thanks to Nurses") that allows
Первичные конечные точки
- Incidence of unplanned hospital readmissions [Срок оценки: 1, 2, 3, 4, 5, and 6 months after discharge]
- Incidence of emergency department visits [Срок оценки: 1, 2, 3, 4, 5, and 6 months after discharge]
Вторичные конечные точки (11)
- Barthel Index [Срок оценки: Immediately after ICU discharge and 0, 3, and 6 months after discharge]
- Maximal inspiratory pressure [Срок оценки: Immediately after ICU discharge and 0, 3, and 6 months after discharge]
- Grip strength [Срок оценки: Immediately after ICU discharge and 0, 3, and 6 months after discharge]
- Modified 30-second sit-to-stand test [Срок оценки: Immediately after ICU discharge and 0, 3, and 6 months after discharge]
- Montreal Cognitive Assessment [Срок оценки: Immediately after ICU discharge and 0, 3, and 6 months after discharge]
- Confusion assessment methods [Срок оценки: Immediately after ICU discharge and 0, 3, and 6 months after discharge]
- Body weight [Срок оценки: Immediately after ICU discharge and 0, 1, 2, 3, 4, 5, and 6 months after discharge]
- Calf circumference [Срок оценки: Immediately after ICU discharge and 0, 1, 2, 3, 4, 5, and 6 months after discharge]
- Maslach Burnout Inventory - Human Services Survey (MBI-HSS) [Срок оценки: 0, 6, 12, 18, and 24 months after I-CARE program start]
- Intention to leave [Срок оценки: 0, 6, 12, 18, and 24 months after I-CARE program start]
- Mortality rate [Срок оценки: 1, 2, 3, 4, 5, and 6 months after discharge]
Критерии участия
Критерии включения
- ICU survivors who had experienced endotracheal intubation and mechanical ventilation treatment.
Критерии исключения
- ICU survivors who are unable to walk independently before admission
- ICU survivors who are unable to receive assessment (e.g., dementia or mental retardation)
- ICU survivors who don't have a smartphone.
- ICU survivors were discharged to institutional care facilities
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Двойное слепое
- Основная цель
- Профилактика
Центры проведения
Тайвань · 1 центр
- National Taiwan University Hospital — Taipei
Идентификаторы
NCT: NCT06997822 · 202502049RINA