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The ICU-Diary study: prospective, multicenter comparative study of the impact of an ICU diary on the wellbeing of patients and families in French ICUs
BACKGROUND: Post-intensive care syndrome includes the multiple consequences of an intensive care unit (ICU) stay for patients and families. It has become a new challenge for intensivists. Prevention programs have been disappointing, except for ICU diaries, which report the patient’s story in the ICU...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688734/ https://www.ncbi.nlm.nih.gov/pubmed/29141694 http://dx.doi.org/10.1186/s13063-017-2283-y |
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author | Garrouste-Orgeas, Maïté Flahault, Cécile Fasse, Léonor Ruckly, Stéphane Amdjar-Badidi, Nora Argaud, Laurent Badie, Julio Bazire, Amélie Bige, Naike Boulet, Eric Bouadma, Lila Bretonnière, Cédric Floccard, Bernard Gaffinel, Alain de Forceville, Xavier Grand, Hubert Halidfar, Rebecca Hamzaoui, Olfa Jourdain, Mercé Jost, Paul-Henri Kipnis, Eric Large, Audrey Lautrette, Alexandre Lesieur, Olivier Maxime, Virginie Mercier, Emmanuelle Mira, Jean Paul Monseau, Yannick Parmentier-Decrucq, Erika Rigaud, Jean-Philippe Rouget, Antoine Santoli, François Simon, Georges Tamion, Fabienne Thieulot-Rolin, Nathalie Thirion, Marina Valade, Sandrine Vinatier, Isabelle Vioulac, Christel Bailly, Sebastien Timsit, Jean-François |
author_facet | Garrouste-Orgeas, Maïté Flahault, Cécile Fasse, Léonor Ruckly, Stéphane Amdjar-Badidi, Nora Argaud, Laurent Badie, Julio Bazire, Amélie Bige, Naike Boulet, Eric Bouadma, Lila Bretonnière, Cédric Floccard, Bernard Gaffinel, Alain de Forceville, Xavier Grand, Hubert Halidfar, Rebecca Hamzaoui, Olfa Jourdain, Mercé Jost, Paul-Henri Kipnis, Eric Large, Audrey Lautrette, Alexandre Lesieur, Olivier Maxime, Virginie Mercier, Emmanuelle Mira, Jean Paul Monseau, Yannick Parmentier-Decrucq, Erika Rigaud, Jean-Philippe Rouget, Antoine Santoli, François Simon, Georges Tamion, Fabienne Thieulot-Rolin, Nathalie Thirion, Marina Valade, Sandrine Vinatier, Isabelle Vioulac, Christel Bailly, Sebastien Timsit, Jean-François |
author_sort | Garrouste-Orgeas, Maïté |
collection | PubMed |
description | BACKGROUND: Post-intensive care syndrome includes the multiple consequences of an intensive care unit (ICU) stay for patients and families. It has become a new challenge for intensivists. Prevention programs have been disappointing, except for ICU diaries, which report the patient’s story in the ICU. However, the effectiveness of ICU diaries for patients and families is still controversial, as the interpretation of the results of previous studies was open to criticism hampering an expanded use of the diary. The primary objective of the study is to evaluate the post-traumatic stress syndrome in patients. The secondary objectives are to evaluate the post-traumatic stress syndrome in families, anxiety and depression symptoms in patients and families, and the recollected memories of patients. Endpoints will be evaluated 3 months after ICU discharge or death. METHODS: A prospective, multicenter, randomized, assessor-blind comparative study of the effect of an ICU diary on patients and families. We will compare two groups: one group with an ICU diary written by staff and family and given to the patient at ICU discharge or to the family in case of death, and a control group without any ICU diary. Each of the 35 participating centers will include 20 patients having at least one family member who will likely visit the patient during their ICU stay. Patients must be ventilated within 48 h after ICU admission and not have any previous chronic neurologic or acute condition responsible for cognitive impairments that would hamper their participation in a phone interview. Three months after ICU discharge or death of the patient, a psychologist will contact the patient and family by phone. Post-traumatic stress syndrome will be evaluated using the Impact of Events Scale-Revised questionnaire, anxiety and depression symptoms using the Hospital Anxiety and Depression Scale questionnaire, both in patients and families, and memory recollection using the ICU Memory Tool Questionnaire in patients. The content of a randomized sample of diaries of each center will be analyzed using a grid. An interview of the patients in the intervention arm will be conducted 6 months after ICU discharge to analyze in depth how they use the diary. DISCUSSION: This study will provide new insights on the impact of ICU diaries on post-traumatic stress disorders in patients and families after an ICU stay. TRIAL REGISTRATION: ClinicalTrial.gov, ID: NCT02519725. Registered on 13 July 2015. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13063-017-2283-y) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5688734 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-56887342017-11-24 The ICU-Diary study: prospective, multicenter comparative study of the impact of an ICU diary on the wellbeing of patients and families in French ICUs Garrouste-Orgeas, Maïté Flahault, Cécile Fasse, Léonor Ruckly, Stéphane Amdjar-Badidi, Nora Argaud, Laurent Badie, Julio Bazire, Amélie Bige, Naike Boulet, Eric Bouadma, Lila Bretonnière, Cédric Floccard, Bernard Gaffinel, Alain de Forceville, Xavier Grand, Hubert Halidfar, Rebecca Hamzaoui, Olfa Jourdain, Mercé Jost, Paul-Henri Kipnis, Eric Large, Audrey Lautrette, Alexandre Lesieur, Olivier Maxime, Virginie Mercier, Emmanuelle Mira, Jean Paul Monseau, Yannick Parmentier-Decrucq, Erika Rigaud, Jean-Philippe Rouget, Antoine Santoli, François Simon, Georges Tamion, Fabienne Thieulot-Rolin, Nathalie Thirion, Marina Valade, Sandrine Vinatier, Isabelle Vioulac, Christel Bailly, Sebastien Timsit, Jean-François Trials Study Protocol BACKGROUND: Post-intensive care syndrome includes the multiple consequences of an intensive care unit (ICU) stay for patients and families. It has become a new challenge for intensivists. Prevention programs have been disappointing, except for ICU diaries, which report the patient’s story in the ICU. However, the effectiveness of ICU diaries for patients and families is still controversial, as the interpretation of the results of previous studies was open to criticism hampering an expanded use of the diary. The primary objective of the study is to evaluate the post-traumatic stress syndrome in patients. The secondary objectives are to evaluate the post-traumatic stress syndrome in families, anxiety and depression symptoms in patients and families, and the recollected memories of patients. Endpoints will be evaluated 3 months after ICU discharge or death. METHODS: A prospective, multicenter, randomized, assessor-blind comparative study of the effect of an ICU diary on patients and families. We will compare two groups: one group with an ICU diary written by staff and family and given to the patient at ICU discharge or to the family in case of death, and a control group without any ICU diary. Each of the 35 participating centers will include 20 patients having at least one family member who will likely visit the patient during their ICU stay. Patients must be ventilated within 48 h after ICU admission and not have any previous chronic neurologic or acute condition responsible for cognitive impairments that would hamper their participation in a phone interview. Three months after ICU discharge or death of the patient, a psychologist will contact the patient and family by phone. Post-traumatic stress syndrome will be evaluated using the Impact of Events Scale-Revised questionnaire, anxiety and depression symptoms using the Hospital Anxiety and Depression Scale questionnaire, both in patients and families, and memory recollection using the ICU Memory Tool Questionnaire in patients. The content of a randomized sample of diaries of each center will be analyzed using a grid. An interview of the patients in the intervention arm will be conducted 6 months after ICU discharge to analyze in depth how they use the diary. DISCUSSION: This study will provide new insights on the impact of ICU diaries on post-traumatic stress disorders in patients and families after an ICU stay. TRIAL REGISTRATION: ClinicalTrial.gov, ID: NCT02519725. Registered on 13 July 2015. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13063-017-2283-y) contains supplementary material, which is available to authorized users. BioMed Central 2017-11-15 /pmc/articles/PMC5688734/ /pubmed/29141694 http://dx.doi.org/10.1186/s13063-017-2283-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Garrouste-Orgeas, Maïté Flahault, Cécile Fasse, Léonor Ruckly, Stéphane Amdjar-Badidi, Nora Argaud, Laurent Badie, Julio Bazire, Amélie Bige, Naike Boulet, Eric Bouadma, Lila Bretonnière, Cédric Floccard, Bernard Gaffinel, Alain de Forceville, Xavier Grand, Hubert Halidfar, Rebecca Hamzaoui, Olfa Jourdain, Mercé Jost, Paul-Henri Kipnis, Eric Large, Audrey Lautrette, Alexandre Lesieur, Olivier Maxime, Virginie Mercier, Emmanuelle Mira, Jean Paul Monseau, Yannick Parmentier-Decrucq, Erika Rigaud, Jean-Philippe Rouget, Antoine Santoli, François Simon, Georges Tamion, Fabienne Thieulot-Rolin, Nathalie Thirion, Marina Valade, Sandrine Vinatier, Isabelle Vioulac, Christel Bailly, Sebastien Timsit, Jean-François The ICU-Diary study: prospective, multicenter comparative study of the impact of an ICU diary on the wellbeing of patients and families in French ICUs |
title | The ICU-Diary study: prospective, multicenter comparative study of the impact of an ICU diary on the wellbeing of patients and families in French ICUs |
title_full | The ICU-Diary study: prospective, multicenter comparative study of the impact of an ICU diary on the wellbeing of patients and families in French ICUs |
title_fullStr | The ICU-Diary study: prospective, multicenter comparative study of the impact of an ICU diary on the wellbeing of patients and families in French ICUs |
title_full_unstemmed | The ICU-Diary study: prospective, multicenter comparative study of the impact of an ICU diary on the wellbeing of patients and families in French ICUs |
title_short | The ICU-Diary study: prospective, multicenter comparative study of the impact of an ICU diary on the wellbeing of patients and families in French ICUs |
title_sort | icu-diary study: prospective, multicenter comparative study of the impact of an icu diary on the wellbeing of patients and families in french icus |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688734/ https://www.ncbi.nlm.nih.gov/pubmed/29141694 http://dx.doi.org/10.1186/s13063-017-2283-y |
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