Recall of clinical trial participation and attrition rates in survivors of acute respiratory distress syndrome.

Recall of clinical trial participation and attrition rates in survivors of acute respiratory distress syndrome.
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DOI:
10.1016/j.jcrc.2021.04.006
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发表时间:
2021-08
影响因子:
3.7
通讯作者:
NHLBI Prevention and Early Treatment of Acute Lung Injury (PETAL) Network
NHLBI Prevention and Early Treatment of Acute Lung Injury (PETAL) Network
中科院分区:
医学3区
文献类型:
--
作者:
Carlton EF;Ice E;Barbaro RP;Kampuis L;Moss M;Angus DC;Banner-Goodspeed VM;Ginde AA;Gong MN;Grissom CK;Hou PC;Huang DT;Hough CTL;Talmor DS;Thompson BT;Yealy DM;Couper MP;Iwashyna TJ;NHLBI Prevention and Early Treatment of Acute Lung Injury (PETAL) Network

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测量急性呼吸窘迫综合征(ARDS)幸存者的研究参与回忆率和研究损耗率。在这项全身早期神经肌肉阻滞(ROSE)试验再评价的辅助研究中,我们测量了出院后3个月的研究参与回忆率和随后6个月的研究脱落率。我们比较了患者和医院的特点,以及通过回忆的长期结果。由于代理决策者提供了最初的同意,我们测量了患者再次同意的比率及其与研究召回的相关性。在评价的487例患者中,386例(82.7%)确定了回忆状态。其中,287例(74.4%)患者回忆起参与ROSE试验,而99例(25.6%)患者未回忆起。回忆参与研究的患者(9.1%)和未回忆参与研究的患者(12.1%)之间的6个月损耗无显著差异(p = 0.38)。除SOFA评分、无呼吸机天数和住院时间外,两组患者特征相似。330例(68%)再次同意。与未重新同意的患者相比,重新同意的患者回忆起参与研究的人数明显更多(78% vs. 66%;p = 0.01)。四分之一的ARDS幸存者在出院后3个月住院期间不记得他们参加过临床试验,这对6个月的自然减员没有影响。然而,如果获得再次同意,更多患者会回忆起参与研究。
To measure the rate of recall of study participation and study attrition in survivors of acute respiratory distress syndrome(ARDS). In this ancillary study of the Re-evaluation of Systemic Early neuromuscular blockade(ROSE) trial, we measured the rate of study participation recall 3 months following discharge and subsequent study attrition at 6 months. We compared patient and hospital characteristics, and long-term outcomes by recall. As surrogate decision-makers provided initial consent, we measured the rate of patient reconsent and its association with study recall. Of 487 patients evaluated, recall status was determined in 386(82.7%). Among these, 287(74.4%) patients recalled participation in the ROSE trial, while 99(25.6%) did not. There was no significant difference in 6-month attrition among patients who recalled study participation (9.1%) and those who did not (12.1%) (p = 0.38). Patient characteristics were similar between groups, except SOFA scores, ventilator-free days, and length of stay. 330(68%) were reconsented. Compared to those not reconsented, significantly more patients who were reconsented recalled study participation(78% vs. 66%;p = 0.01). One in 4 ARDS survivors do not recall their participation in a clinical trial during hospitalization 3 months following hospital discharge, which did not influence 6-month attrition. However, more patients recall study participation if reconsent is obtained.
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