24 Participants Needed

Telehealth Follow-up for PICS

AJ
Overseen ByAndrew J Franck, Pharm.D.
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Malcom Randall VA Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether telehealth follow-up appointments with a pharmacist can improve recovery for individuals who have survived a critical illness and been discharged from the intensive care unit (ICU). The goal is to determine if this approach, known as Post-ICU Telehealth Follow-up, can effectively support recovery from post-intensive care syndrome (PICS), which includes issues like weakness, cognitive difficulties, and emotional distress after leaving the ICU. Participants will receive either the telehealth follow-ups or the usual post-ICU care. The study seeks individuals who have spent a significant time in the ICU and are preparing to return home after their hospital stay. As an unphased trial, this study provides a unique opportunity to contribute to innovative care methods that could enhance recovery for future ICU survivors.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this telehealth follow-up is safe for post-ICU patients?

Research has shown that telehealth check-ins after an ICU stay are generally well-received. A review of studies found that digital tools like video calls, phone check-ins, and online health management aid recovery without major safety issues.

Another study found that patients using telehealth follow-up services were satisfied, with no unexpected negative health effects reported. This suggests the treatment is safe for most people.

The telehealth follow-up in this trial supports recovery after a serious illness. It aims to be safe and helpful, based on previous research and similar programs.12345

Why are researchers excited about this trial?

Researchers are excited about Post-ICU Telehealth Follow-up for PICS because it offers a new approach to managing recovery after intensive care. Unlike traditional in-person follow-ups, this method uses telehealth appointments at one and three months post-discharge, making it more convenient for patients who may have mobility issues or live far from healthcare facilities. By facilitating regular check-ins from the comfort of a patient's home, this approach aims to improve long-term recovery and outcomes, potentially reducing the stress and logistical challenges associated with traditional follow-up care.

What evidence suggests that this telehealth follow-up is effective for PICS?

Research has shown that telehealth check-ins after an ICU stay can aid recovery from post-intensive care syndrome (PICS), which includes various health issues following intensive care. In this trial, the Telehealth Intervention Group will receive telehealth follow-up appointments approximately one and three months after hospital discharge. Studies have found that these online health services can enhance patient recovery by providing timely support and advice. A review demonstrated that telemedicine care after ICU stays successfully engages patients and makes treatments more effective. Additionally, research has found that telehealth follow-ups can save money by reducing the need for emergency room visits. Overall, these methods offer promising ways to support recovery from serious illnesses.12345

Are You a Good Fit for This Trial?

This trial is for patients who were in a medical or surgical ICU, needed a ventilator for at least 24 hours, or stayed in the ICU for at least 7 days. They should be going home after hospitalization and able to give consent themselves or through a representative.

Inclusion Criteria

I am between 18 and 89 years old.
Anticipated discharge to home after hospitalization
Consent from patients themselves or a legally authorized representative if necessary
See 2 more

Exclusion Criteria

I expect to be discharged to a facility for long-term care or rehabilitation.
Incarceration/Imprisonment
Pregnancy
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive telehealth follow-up appointments at approximately one and three months post-hospital discharge

3 months
2 visits (virtual)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 months

What Are the Treatments Tested in This Trial?

Interventions

  • Post-ICU Telehealth Follow-up
Trial Overview The study tests if follow-up telehealth appointments with pharmacists can help people recover after being critically ill and leaving the ICU. Patients are randomly chosen to either get these special follow-ups at one and three months post-discharge or just receive standard care.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Telehealth Intervention GroupExperimental Treatment1 Intervention
Group II: Standard of Care GroupActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Malcom Randall VA Medical Center

Lead Sponsor

Trials
8
Recruited
430+

Citations

Post-intensive care syndrome follow-up system after hospital ...A systematic review on the PICS follow-up system revealed that telemedicine models of post-ICU care increased recruitment rates, intervention ...
Exploring the effectiveness of eHealth interventions in treating ...To our knowledge, this is the first comprehensive review of eHealth's impact on PICS outcomes during the critical care rehabilitation phase.
Digital health interventions to improve recovery for ...The nexus of post-ICU follow-up care and digital health has the potential to yield improvements in recovery from the ICU and warrants a specific review.
A Randomized Controlled Trial of a Post-ICU Telehealth ...The primary outcome is the cost-effectiveness of the intervention. Measurements and Main Results: Overall healthcare spending on emergency room ...
ICU follow-up services and their impact on post-intensive ...This review will synthesise and map the current types of follow-up services for ICU survivors and summarise the impact of follow-up services on PICS.
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