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A randomised controlled trial evaluating a rehabilitation complex intervention for patients following intensive care discharge: the RECOVER study

Walsh, Timothy S; Salisbury, Lisa G; Boyd, Julia; Ramsay, Pam; Merriweather, Judith; Huby, Guro; Forbes, John; Rattray, Janice Z; Griffith, David M; MacKenzie, Simon J; Hull, Alastair; Lewis, Steff; Murray, Gordon D

Authors

Timothy S Walsh

Lisa G Salisbury

Julia Boyd

Pam Ramsay

Judith Merriweather

Guro Huby

John Forbes

Janice Z Rattray

David M Griffith

Simon J MacKenzie

Alastair Hull

Steff Lewis

Gordon D Murray



Abstract

Introduction: Patients who survive an intensive care unit admission frequently suffer physical and psychological morbidity for many months after discharge. Current rehabilitation pathways are often fragmented and little is known about the optimum method of promoting recovery. Many patients suffer reduced quality of life.
Methods and analysis: The authors plan a multicentre randomised parallel group complex intervention trial with concealment of group allocation from outcome assessors. Patients who required more than 48 h of mechanical ventilation and are deemed fit for intensive care unit discharge will be eligible. Patients with primary neurological diagnoses will be excluded. Participants will be randomised into one of the two groups: the intervention group will receive standard ward-based care delivered by the NHS service with additional treatment by a specifically trained generic rehabilitation assistant during ward stay and via telephone contact after hospital discharge and the control group will receive standard ward-based care delivered by the current NHS service. The intervention group will also receive additional information about their critical illness and access to a critical care physician. The total duration of the intervention will be from randomisation to 3 months postrandomisation. The total duration of follow-up will be 12 months from randomisation for both groups. The primary outcome will be the Rivermead Mobility Index at 3 months. Secondary outcomes will include measures of physical and psychological morbidity and function, quality of life
and survival over a 12-month period. A health economic evaluation will also be undertaken. Groups will be compared in relation to primary and secondary outcomes; quantitative analyses will be supplemented by focus groups with patients, carers and healthcare workers.
Ethics and dissemination: Consent will be obtained from patients and relatives according to patient capacity. Data will be analysed according
to a predefined analysis plan.

Citation

Walsh, T. S., Salisbury, L. G., Boyd, J., Ramsay, P., Merriweather, J., Huby, G., …Murray, G. D. (2012). A randomised controlled trial evaluating a rehabilitation complex intervention for patients following intensive care discharge: the RECOVER study. BMJ Open, 2, https://doi.org/10.1136/bmjopen-2012-001475

Journal Article Type Article
Acceptance Date May 18, 2012
Publication Date Jul 2, 2012
Deposit Date Jun 28, 2016
Publicly Available Date Jan 30, 2020
Journal BMJ Open
Print ISSN 2044-6055
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 2
DOI https://doi.org/10.1136/bmjopen-2012-001475
Keywords Intensive care; RECOVER; patient rehabilitation;
Public URL http://researchrepository.napier.ac.uk/id/eprint/10387
Publisher URL http://dx.doi.org/10.1136/bmjopen-2012-001475

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A Randomised Controlled Trial Evaluating A Rehabilitation Complex Intervention For Patients Following Intensive Care Discharge: The RECOVER Study (283 Kb)
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Publisher Licence URL
https://creativecommons.org/licenses/by-nc/2.0/

Copyright Statement
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode.




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