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| ID | Type | Description | Link |
|---|---|---|---|
| Protocol approval | Other Identifier | Genova |
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Post-ICU long term sequelae- defined as "post intensive care syndrome" (PICS) manifest with a wide spectrum of psychological and cognitive impairments, affecting over two-thirds of ICU survivors and leading to increased rehospitalization, health care costs, impaired quality of life (QoL), inability to return to work and burden for families.
The prevalence of post-traumatic stress symptoms (PTSD), anxiety symptoms, and depression after ICU stay is high and has been demonstrated in up to 50% of post-ICU population.
Therefore, over the last years, an important effort has been made for the development of ICU aftercare and follow-up clinics with the aim to detect and to minimize post-ICU sequelae and improve outcomes. However, the utility of these follow-up programs and their effect on outcome has not been completely demonstrated.
This is a single center, prospective observational study, which will be conducted at Policlinico San Martino Hospital, Genova, Italy. Patients admitted to the ICU from more than 72 hours will be consecutively included during a 2 years period.
The primary objective is to assess the incidence of post-discharge mortality in patients admitted in ICU at 12 months.
Secondary objectives include the evaluation at 3, 6 and 12 months of outcome of patients admitted in ICU assessing QoL, anxiety, depression, PTSD, physical ability, cognitive function, sleep disorder and return to previous life; Self- and observer reported cognitive disability at 6 and 12 months after ICU discharge; prognostic factors for poor outcome, and emotional and burden of care impact on the patient's caregivers.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No interventions | Other | Observational study, no intervention is required |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the incidence of post-discharge mortality in patients admitted in ICU. | using a neuropsychological evaluation | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Cognitive outcome assessed through the MoCA scale, Montreal Cognitive Assessment | This is a scale including different tests regarding language, attention, naming giving a score from 0 (maximal cognitive dysfunction) and 30 ( no deficit) | 12 months |
| Cognitive outcome assessed through HADS scale (Hospital Anxiety and Depression Scale) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients admitted to the ICU from more than 72 hours will be consecutively included during a 2 years period
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Iole Brunetti, MD | Contact | 010/5551 | brunettimed@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Policlinico San Martino | Recruiting | Genova | 16100 | Italy |
IPD will be available for reasonable request to the PI
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Request to the PI
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| ID | Term |
|---|---|
| D060825 | Cognitive Dysfunction |
| D003693 | Delirium |
| ID | Term |
|---|---|
| D003072 | Cognition Disorders |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D003221 | Confusion |
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Questionnaire with score from 0 (no issues) to 21 (maximal abnormalities) exploring depression and anxiety |
| 12 months |
| D019954 |
| Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |