A Feasibility Study to Assess Pre Admission Status and Six Month Outcomes After Major Trauma

A Feasibility Study to Assess Pre Admission Status and Six Month Outcomes of Major Trauma Patients Admitted to an Intensive Care Unit, Using the WHO DAS 2.0.

This study aims to assess the feasibility of obtaining details about a patients previous level of function from the patient of friend/relative, after they have been admitted an intensive care unit (ICU). It will also assess the feasibility of re-assessing level of function at 6 months after the patient has been discharged from ICU.

Currently there is no standardised way of obtaining details about a patients pre-admission level of function. the process of gaining this history is often done by several different people with no standard questions asked.

There is also a need to be able to measure what happens to patients after they leave ICU, and compare their abilities to preadmission status.

This feasibility study will aim to investigate:

• the time taken to train the physiotherapy team in the use of the outcome measure
• the ability to obtain pre admission functional status from patients/friend/relative on admission to ICU
• the ability to follow patients up at 6 months post discharge with re-assessment of the outcome measure

Inclusion Criteria:

• Participant is willing and able to give informed consent for participation in the study
• Participants relative or friend (consultee) is willing and able to give informed consent for participation in the study (where the patient is unable to give informed consent)
• Male or Female, aged 18 years or above
• Injury Severity Score greater than 9
• Admitted as an emergency to AICU
• Experienced at least 24 hours level three care during their admission

Exclusion Criteria:

• Non UK resident (due to potential loss to follow up)
• Unwilling to consent
• No GP details available
• Patients with a palliative diagnosis or established on a palliative treatment pathway