PRISM
Research type
Research Study
Full title
Preventing Readmission of ICU Survivors and Managing stepdown
IRAS ID
260839
Contact name
Carly Robinson
Contact email
Sponsor organisation
NHS Greater Glasgow and Clyde
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Due to advances in technology and care, survival from Intensive Care (ICU) is improving. With this increase in survivorship clinicians and researchers are beginning to understand more fully the challenging recovery trajectory which patients and caregivers face following critical illness. Patients can suffer physical, social and psychological issues in the months and years following ICU discharge. This group of signs and symptoms is now commonly referred to as Post-Intensive Care Syndrome (PICS). As well as having a significant impact on the individual patient and their loved one, PICS can also affect the health service.
Recent evidence has demonstrated that this patient group has significant health care costs and interactions with the health service in the year following critical illness. This includes an increase in readmissions to acute care and frequent interactions with general practice. However, interventional research has failed to address the root cause of this increase in healthcare utilisation.
This study aims to explore reasons for readmissions to acute care from a patient and family perspective. We will undertake in-depth, semi-structured interviews with patients and caregivers in the hospital setting during an episode of readmission. These interviews will focus on drivers for readmission, including social causes as well as traditional biomedical causes.
Interviews will take place in a quiet area (ie patient day room) in the acute care setting and will take approximately 30-45 minutes. Full written consent will be obtained from each participant before interview. Patients will have up to 24 hours to decide whether to take part or not. We will transcribe each interview word for word and will analyse the qualitative data using thematic analysis (looking for commonly occurring themes).
During this time we will also collect demographic data about readmissions on all patients leaving our Intensive Care unit. This will allow us to contextualise our findings.REC name
West of Scotland REC 5
REC reference
19/WS/0091
Date of REC Opinion
10 Jul 2019
REC opinion
Further Information Favourable Opinion