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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-A00022-43 | Other Identifier | RCB number |
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This is a prospective, single-center, pilot, cohort study. The first phase of this study is observational and the usual care of patients is maintained during the ICU stay, except for an interview with a psychologist preceding patient discharge. A phone interview at 2 months and a visit with a psychologist at four months after ICU discharge are specific to the study.
The main objective of this study is to make a first estimate of the percentage of patients (CI = +- 10%) with cognitive impairment at four months after ICU discharge. The presence / absence of cognitive impairment will be determined by the D2 test.
The secondary objectives of this study are:
A. To study the potential links between cognitive impairment and quality of life 4 months after discharge from the Intensive Care Unit.
B. To study the associations between variables measured during hospitalization. Is there "clustering" among certain symptoms during hospitalization?
C. To study the associations between variables measured at two and four months after ICU discharge. Is there clustering among these symptoms?
D. To study potential risk factors for cognitive problems at 4 months after ICU discharge.
E. If objective C determines the presence of clusters, is the presence / absence of these clusters related to the variables (or clusters of variables) measured during hospitalization?
F. To study potential risk factors for poor quality of life at 4 months:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study population | Experimental | See in inclusion/exclusion criteria. Interventions: Baseline activities; Clinical interview with a psychologist; Telephone interview 2 months after ICU discharge; Clinical interview with a psychologist . |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Baseline activities | Other | Initial consent procedures and baseline data collection. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Presence/absence of cognitive impairment | based on D2 test | 4 months after ICU discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of sedation | expected average of 48 hours | |
| Duration of ventilation | expected average of 36 hours | |
| Daily average for RASS scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Justine Pereira | Centre Hospitalier Universitaire de Nīmes | Study Director |
| Claire Roger, MD | Centre Hospitalier Universitaire de Nīmes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nîmes - Hôpital Universitaire Carémeau | Nîmes | 30029 | France |
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| Clinical interview with a psychologist |
| Other |
Clinical interview with a psychologist. This interview with a psychologist will take place after patient consent procedures, and at least 2 days after discontinuation of sedation, and before leaving the ICU. This interview will include:
|
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| Telephone interview 2 months after ICU discharge | Other | At 2 months after leaving the ICU, a psychologist will contact the patient with questions regarding his/her representation of hospitalization. This implies the following:
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| Clinical interview with a psychologist | Other | At 4 months after ICU discharge, the patient has a clinical interview during which a psychologist will:
|
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| Expected maximum of 28 days |
| Daily average for Behaviour pain scale | expected average of 48 hours |
| CAM ICU score | upon awakening (expected average of 48 hours) |
| Peritraumatic distress inventory | expected average of 5 days (end of ICU stay) |
| Questionnaire PDEQ-10 | expected average of 5 days (end of ICU stay) |
| Assessment of potential impacts | expected average of 5 days (end of ICU stay) |
| HADS score | expected average of 5 days (end of ICU stay) |
| ICUMT questionnaire | 60 +- 3 days after ICU discharge |
| ICU-SEQ questionnaire | 60 +- 3 days after ICU discharge |
| Assessment of psychotramatisme | 60 +- 3 days after ICU discharge |
| HADS score | 60 +- 3 days after ICU discharge |
| PCLS scale (DSM IV items) | 4 months after ICU discharge |
| IDS-C Questionnaire | 4 months after ICU discharge |
| SF-36 | 4 months after ICU discharge |
| Forward span test | 4 months after ICU discharge |
| Backwards span test | 4 months after ICU discharge |
| Rey 15-word test | 4 months after ICU discharge |
| Test D2 (units = n) | 4 months after ICU discharge |
| Wisconsin test | 4 months after ICU discharge |
| Stroop test | 4 months after ICU discharge |
| Verbal fluency test | 4 months after ICU discharge |
| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| D003863 | Depression |
| D060825 | Cognitive Dysfunction |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
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| ID | Term |
|---|---|
| D007407 | Interviews as Topic |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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