Timothy Simon Walsh
A randomised controlled trial evaluating a rehabilitation complex intervention for patients following intensive care discharge: the RECOVER study
Walsh, Timothy Simon; Salisbury, Lisa G; Boyd, Julia; Ramsay, Pamela; Merriweather, Judith; Huby, Guro; Forbes, John; Rattray, Janice Z; Griffith, David M; Mackenzie, Simon J; Hull, Alastair; Lewis, Steff; Murray, Gordon D
Authors
Lisa G Salisbury
Julia Boyd
Pamela 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., Forbes, J., Rattray, J. Z., Griffith, D. M., Mackenzie, S. J., Hull, A., Lewis, S., & 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(4), Article e001475. https://doi.org/10.1136/bmjopen-2012-001475
Journal Article Type | Article |
---|---|
Acceptance Date | May 18, 2012 |
Online Publication Date | Jul 2, 2012 |
Publication Date | 2012 |
Deposit Date | Jun 28, 2016 |
Publicly Available Date | Jan 30, 2020 |
Journal | BMJ Open |
Electronic ISSN | 2044-6055 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 2 |
Issue | 4 |
Article Number | e001475 |
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 |
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A Randomised Controlled Trial Evaluating A Rehabilitation Complex Intervention For Patients Following Intensive Care Discharge: The RECOVER Study
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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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