A novel coronavirus, designated corona virus disease 2019 (COVID-19) has resulted in a Pandemic at the time of writing (27th April) the reported number of confirmed cases exceeding 3 million and over 200000 associated deaths. The burden on global critical care has been considerable. As of 24th April there have been 8752 UK critical care admissions with services under considerable strain, and a mortality rate over 50%. Survivors of critical illness will require significant input. This study will perform mixed methods to provide rich data on risk stratification and recovery from critical illness. Recovery from a novel disease requires documenting and the study reports physical and psychological changes following hospital discharge in survivors. In addition qualitative interviews are being conducted with patients who have survived and been discharged from critical care along with their relatives and treating professionals, to better understand their needs during recovery.
Study Type
OBSERVATIONAL
Enrollment
194
Dr Luke Hodgson
Worthing, United Kingdom
Physical
Chelsea critical care physical assessment tool
Time frame: through study completion , an average of 1 year
Physical
Incremental Shuttle Walk Test (ISWT)
Time frame: through study completion , an average of 1 year
Physical
1- minute Sit to Stand, Grip strength
Time frame: through study completion , an average of 1 year
Health Related Quality of life
Short Form Survey on health related quality of life (SF-12). Two summary scores are reported from the SF-12 - a mental component score (MCS-12) and a physical component score (PCS-12). The scores may be reported as Z-scores (difference compared to the population average, measured in standard deviations). The United States population average PCS-12 and MCS-12 are both 50 points. Higher scores indicate better outcome.
Time frame: at 3 months
Health Related Quality of life
Short Form Survey on health related quality of life (SF-36). Scores can range from 0 to 100 and a higher score indicates better outcome.
Time frame: at 1 year
Psychological
Depression Test Questionnaire (PHQ-9). Scores range from 1 to 27 and higher scores indicate worse outcome.
Time frame: through study completion , an average of 1 year
Psychological
Anxiety Test Questionnaire (GAD-7). Scores range from 0 to 21 and higher scores indicates worse outcome.
Time frame: through study completion , an average of 1 year
Psychological
Montreal Cognitive Assessment (MoCA). Scores range from 0 to 30 and higher scores indicate a better outcome.
Time frame: through study completion , an average of 1 year
Psychological
Post-traumatic stress disorder (PTSD) Trauma Screening (TSQ). A screening tool with 10 items. If 6 items are endorsed then the outcome is 'positive' for PTSD.
Time frame: at 1 year
risk stratification
escalation to critical care (Yes/No)
Time frame: through study completion and average of 1 year
risk stratification
mechanical ventilation (Yes/No)
Time frame: through study completion and average of 1 year
risk stratification
critical care stay hospital stay (number of days)
Time frame: through study completion and average of 1 year
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