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| ID | Type | Description | Link |
|---|---|---|---|
| 1R01AG079916-01A1 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
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This is a prospective longitudinal study that will evaluate the unmet needs of older adults (65 and older) who return home (either directly or after short-term rehab) after an ICU hospitalization, evaluate the association of these unmet needs with clinically relevant outcomes, and assess barriers and facilitators to addressing these unmet needs. The proposed research will inform the development and evaluation of a subsequent intervention to improve functional outcomes among older ICU survivors, in alignment with the NIH's mission to reduce disability.
To identify unmet needs in multiple domains after return home from an ICU hospitalization, evaluate whether these unmet needs are associated with disability burden in the subsequent 6 months, and ascertain whether these associations are moderated by initial discharge destination (home or STR).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Older adults returning home post-ICU | Community-dwelling older adults who return home (either directly or after a stay in short-term rehab (STR)) after an ICU hospitalization. |
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| Measure | Description | Time Frame |
|---|---|---|
| Disability Count | Number of instances of disability during activities of daily living (ADLs), instrumental activities of daily living (IADLs), and mobility activity. Disability is defined as an inability to complete the task or the need for personal assistance to complete the task. The higher the count, the more disability. | monthly up to 6 months |
| Number of hospital readmissions | Number of hospital readmissions monthly up to 6 months. | monthly up to 6 months |
| Number of deaths | Number of deaths each month up to 6 months. | monthly up to 6 months |
| Barriers and Facilitators to addressing unmet needs | Barriers and facilitators to addressing unmet needs will be assessed using qualitative interviews. A subgroup of participants will receive qualitative interviews conducted with members of the study team. Content analysis will then be used to identify barriers and facilitators to addressing unmet needs that will be informative when planning a future intervention. | month 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Functional non-recovery | Not returning to the pre-ICU functional baseline within the follow-up period | monthly up to 6 months |
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Inclusion Criteria:
PARTICIPANTS
CAREGIVERS
Exclusion Criteria:
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CAREGIVERS
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Community-dwelling older adults who return home (either directly or after a stay in short-term rehab (STR)) after an ICU hospitalization.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nicole Bouranis, PhD | Contact | +1 (203) 737-1731 | nicole.bouranis@yale.edu |
| Name | Affiliation | Role |
|---|---|---|
| Lauren Ferrante, MD, MHS | Yale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yale New Haven Hospital | Recruiting | New Haven | Connecticut | 06520 | United States |
Deidentified data from this study will be available to investigators who sign a Data Use Agreement (DUA) executed between Yale University and the investigator's institution. The DUA requires the investigators to attest to (1) their commitment to using the data only for approved research purposes and not to identify any individual human participant; (2) their commitment to securing the data using appropriate computer technology; and (3) their commitment to destroying or returning the data after analyses are completed.
Data will not be available until all analyses are complete.
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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