Mobile Critical Care Recovery Program (m-CCRP) for Acute Respiratory Failure (ARF) Survivors

针对急性呼吸衰竭 (ARF) 幸存者的移动重症监护康复计划 (m-CCRP)

• 批准号: 9407151
• 负责人: Babar A Khan
• 金额: $ 63.48万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-01-10 至 2021-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9407151
• 关键词: Acute respiratory failure; Admission activity; Aging; Ambulatory Care Facilities; American; Anxiety; Caring; Chronic Disease; Clinic; Cognitive; Communities; Computer software; Critical Care; Dementia; Development; Elderly; Emergency department visit; Emotional; Evaluation; Feedback; Foundations; Generalized Anxiety Disorder; Health; Health Care Costs; Health Services; Health Services Accessibility; Healthcare; Healthcare Systems; Hospitalization; Hospitals; Impaired cognition; Impairment; Indiana; Institute of Medicine (U.S.); Institutes; Intensive Care; Intensive Care Units; Intervention; Lead; Life; Location; Major Depressive Disorder; Measurement; Measures; Mechanical ventilation; Medical; Mental Depression; Modeling; Morbidity - disease rate; Nature; Neuropsychology; Nurses; Outcome; Outcome Study; Patient Care; Patients; Physical Performance; Physicians; Primary Health Care; Process; Psyche structure; Psychologist; Quality of life; Questionnaires; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Recovery; Research; Resources; Scientist; Secondary to; Structure; Survivors; Syndrome; Travel; Universities; Work; anxiety symptoms; attentional control; base; care coordination; cognitive disability; cognitive enhancement; collaborative care; cost; depressive symptoms; disability; experience; functional decline; functional disability; health care delivery; health care service utilization; health related quality of life; improved; innovation; medical specialties; minor depressive disorder; novel; patient oriented; programs; psychologic; rehabilitation service; tool

Project Summary/Abstract: Survivors of Acute Respiratory Failure (ARF) suffer from long-term morbidity in the form of functional disability, cognitive impairment, major or minor depression, and anxiety. These complications negatively impact the quality of life of these ARF survivors, interfere with their recovery, lead to long-term disability, and cost the health care system $3.5 million per ARF survivor. These sequelae and attendant morbidity have now been designated as the post-intensive care syndrome (PICS). Although there are community resources and rehabilitation services, but due to a fragmented healthcare delivery process, a meaningful recovery is unattainable. Indiana University Center for Aging Research (IUCAR) has over 20 years of experience to provide interdisciplinary, collaborative care utilizing care coordinators integrated with primary care and other specialties. These care models have improved care of elderly with chronic disease states such as dementia, depression, and functional impairment by overcoming fragmented care through care coordination. The current proposal termed the Mobile Critical Care Recovery Program (m-CCRP) for Acute Respiratory Failure (ARF) Survivors builds from the IUCAR's experience of delivering collaborative care. The m-CCRP aims to improve the recovery of ARF survivors through a randomized controlled trial utilizing a mobile care coordinator. The trial has the following specific aims: 1) Evaluate the efficacy of m-CCRP in improving the health related quality of life of ARF survivors. 2) Evaluate the efficacy of m-CCRP in improving the cognitive, physical, and psychological function of ARF survivors. 3) Evaluate the efficacy of m-CCRP in reducing the health-care utilization by ARF survivors. This research is innovative as it promotes a novel interdisciplinary intervention among ARF survivors with continuous feedback and rapid adaptability. The outcomes of this trial will be significant and foundational for dissemination/ implementation of the program across the US health care system to achieve the aims of better health, better care, and reduced health care utilization as promoted by the Institute of Healthcare.

项目摘要/摘要： 急性呼吸衰竭（ARF）的幸存者以功能形式遭受长期发病率 残疾，认知障碍，重度或轻微抑郁以及焦虑。这些并发症会对 这些ARF幸存者的生活质量，干扰他们的康复，导致长期残疾，并使 卫生保健系统每位ARF幸存者350万美元。这些后遗症和随之的发病率现在已经 被指定为强化后护理综合征（图片）。尽管有社区资源和 康复服务，但由于医疗保健提供过程破碎，有意义的康复是 高不可攀。 印第安纳大学老龄化研究中心（IUCAR）拥有超过20年的经验 使用与初级保健和其他集成的护理协调员的跨学科，协作护理 专业。这些护理模型改善了对慢性疾病状态（例如痴呆症）的老年人的护理， 通过护理协调克服零散的护理，抑郁症和功能障碍。 当前的提案称为急性的移动重症监护恢复计划（M-CCRP） 呼吸衰竭（ARF）幸存者是根据IUCAR提供协作护理的经验来建立的。这 M-CCRP旨在通过使用移动的随机对照试验来改善ARF幸存者的恢复 护理协调员。该试验具有以下特定目的：1）评估M-CCRP改善M-CCRP的功效 ARF幸存者与健康相关的生活质量。 2）评估M-CCRP改善认知的功效， ARF幸存者的身体和心理功能。 3）评估M-CCRP在降低的功效 ARF幸存者的医疗保健利用。 这项研究具有创新性，因为它促进了ARF幸存者的新型跨学科干预措施 具有持续的反馈和快速适应性。这项试验的结果将是重要的和基础的 为了在美国医疗保健系统中传播/实施该计划，以实现 医疗研究所促进的改善健康，更好的护理和减少医疗保健利用。