At a glance
ClinicalIndex Comparison Record- ✓At least 18 years of age
- ✓Hospitalized in ICU with Acute Respiratory Failure requiring ≥24 hours of mechanical ventilation, non-invasive positive pressure ventilation, or high-flow nasal cannula
- ✓Discharged to home, skilled nursing facility, sub-acute rehabilitation, or long-term acute care
- ✓English speaking
- ✕Diagnosis of cancer with life expectancy <1 year
- ✕Admitted with ischemic or hemorrhagic cerebrovascular accident, traumatic brain injury, or undergoing neurosurgery
- ✕History of dementing illnesses or neurodegenerative diseases (Alzheimer's disease, Parkinson's disease, vascular dementia)
- ✕Unable to complete study questionnaire due to severe hearing loss
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Mobile Critical Care Recovery Program for Acute Respiratory Failure Survivors
In Brief
A clinical study evaluating Mobile Critical Care Program and Attention Control for Acute Respiratory Failure and Post-Intensive Care Syndrome. Completed, enrolled 503 participants across 3 sites.
Detailed Summary
The m-CCRP randomized controlled trial will evaluate the efficacy of a collaborative critical care recovery program from acute respiratory failure (ARF) survivors in accomplishing the Institute of Healthcare Improvement's triple aims of better health, better care, at lower cost. Primary Aim: To assess the efficacy of m-CCRP in improving the QOL of ARF survivors compared to attention control at twelve months post hospital discharge. Secondary Aims: 1. To evaluate the efficacy of m-CCRP in improving cognitive, physical, and psychological function of ARF survivors at twelve months post hospital discharge when compared to attention control. 2. To evaluate the efficacy of m-CCRP in reducing health-care utilization, defined as time from enrollment to emergency department visits and/or hospital re-admission, by ARF survivors as compared to attention control at twelve months post hospital discharge.
Study Details
Timeline
Interventions
The m-CCRP revolves around the central figure of a care coordinator who will organize and align recovery resources. The care coordinator is a registered nurse whose scope of practice includes health coaching, case managing, community organizing, and nursing care provider. The m-CCRP support team will consist of a critical care physician (Dr. Khan), a geriatrician with expertise in collaborative care (Dr. Boustani), an ICU collaborative care nurse (Dr. Lasiter), and a psychologist (Dr. Unverzagt). This team will meet weekly with the care coordinator. Drs. Khan and Boustani will be accessible to the coordinator through phone or pager at all times.
Patients in this group will receive regular wellness calls from the research team.