A Pragmatic Randomised, Controlled Trial of Intensive Care follow up programmes in improving Longer-term outcomes from critical illness. The PRACTICAL study
2007

Improving Outcomes After Intensive Care: The PRACTICAL Study

Sample size: 270 publication 10 minutes Evidence: moderate

Author Information

Author(s): Cuthbertson Brian H, Rattray Janice, Johnston Marie, Wildsmith J Anthony, Wilson Edward, Hernandez Rodolfo, Ramsey Craig, Hull Alastair M, Norrie John, Campbell Marion

Primary Institution: University of Aberdeen

Hypothesis

Intensive care follow up programmes are effective and cost-effective at improving physical and psychological quality of life in the year after intensive care discharge.

Conclusion

The study aims to evaluate the effectiveness and cost-effectiveness of intensive care follow-up clinics in improving patient outcomes after discharge.

Supporting Evidence

  • Over 100,000 patients are admitted to intensive care units in the UK per year.
  • Approximately two thirds of ICU survivors will experience significant problems with physical and psychological health.
  • Patients' perceptions of the intensive care experience are associated with subsequent distress.

Takeaway

This study is trying to see if follow-up appointments after being in intensive care can help people feel better and live healthier lives.

Methodology

A multi-centre, pragmatic, randomised controlled trial with patients recruited from three intensive care units in the UK.

Potential Biases

The nurses and doctors performing the trial intervention cannot be blind to the trial group allocation.

Limitations

The study may face challenges in standardizing follow-up care across different hospitals.

Participant Demographics

Patients receiving level three dependency care at any time during their hospital stay and who survive until the time of hospital discharge.

Statistical Information

P-Value

0.05

Confidence Interval

95%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-7-116

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