Primary objective:The primary objective is to answer the question: How do COPD patients experience intensive care unit admission because of exacerbation and what is the impact on their quality of life. This study aims to understand the perspective…
ID
Source
Brief title
Condition
- Lower respiratory tract disorders (excl obstruction and infection)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Het primary outcome measure consists of answering the question: how do COPD
patients experience intensive care unit admission because of exacerbation and
what is the impact on their quality of life?
Secondary outcome
The secundary outcome measure consists of answering the questions:
1. What are the experiences of patients with ICU admission because of
exacerbation of COPD?
2. What is the impact of this ICU admission on the quality of life in people
with COPD?
3. How did patients experience the treatment during ICU admission?
4. How do patients experience the information about possible ICU admission and
treatment?
Background summary
Even though there is a relationship between frequent exacerbations of COPD,
hospitalization and health related quality of life, there is little research on
the impact of ICU admission for this group of COPD patients. Up to now,
researches focused mainly on mortality within hospitals. Quality of life and
utilization of health services received scant attention.
Treatment of this exacerbation in the ICU has an impact on patients. Feelings
of fear, panic en loss of control due to the mask can occur in non-invasive
ventilation. Mechanical ventilation has a high morbidity, associated with
ventilator pneumonia, and mortality. Several studies have been published in
which standardized quality of life questionnaires were used to measure the
impact of ICU admission. Several studies have reported low quality of life due
to ICU-admission but there were also conflicting results.
Research focused on the perceptions of patients en their caregivers about the
severity of COPD in life and the perception of ICU admission. Until now, no
literature that considers the experiences of COPD patients with ICU admission
because of exacerbation and its impact on the quality of life has been found.
Therefore, this study aims to investigate this research topic.
Study objective
Primary objective:
The primary objective is to answer the question: How do COPD patients
experience intensive care unit admission because of exacerbation and what is
the impact on their quality of life. This study aims to understand the
perspective of COPD patients* admission and treatment, and to gain insight in
the perspective of the impact that ICU admission, due to COPD exacerbation, has
on health related quality of life. Also, the study may contribute to the
provision of information on possible ICU admission and treatment in Medisch
Spectrum Twente.
Secundary objective:
In the future, this would provide information on the treatment, support and
care of this patient population which promotes their quality of life.
Study design
This study uses a cross-sectional design involving an in-depth interview. A
total of 8 patients will undergo an in-depth interview for approximately 60
minutes. In development of the in-depth interview, the existing Hierarchical
Quality of Life Model of Spilker and Revicki has been used. The ICU-QOL study
is conducted in Medisch Spectrum Twente, Enschede.
Study burden and risks
It may be emotional for patients to think of ICU admission, treatment and
impact on quality of life. The patient may become tired and emotional in
response to the interview. Other adverse events during and after interviews are
not expected. If a patient suffers severe adverse events, he can contact the
general practitioner and lung physician.
Patients do not directly benefit from this research. For the future, the
research can provide useful information. The research may improve health care
in the field of ICU admission for people with exacerbation of COPD. Patients
will be interviewed at their own place, spending approximately 60 minutes on
participating in the study. No financial compensation is involved.
Haaksbergerstraat 55
Enschede 7500 KA
NL
Haaksbergerstraat 55
Enschede 7500 KA
NL
Listed location countries
Age
Inclusion criteria
Inclusion:
1. Patients who have had a ICU admission in the period from September 2012 to January 2014;
2. Patients whose ICU admission indication was exacerbation of COPD;
3. Patients who are able to speak in understandable Dutch.
Exclusion criteria
Exclusion:
1. Patients with severe psychiatric morbidity, noticeable in the personal file of the patients. The interview may be stressful for this group.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| Other | 17858 |
| CCMO | NL48897.044.14 |