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Prevalence and Long Term Effects of Frailty in Elderly Intensive Care Patients (SkrInt)

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ClinicalTrials.gov Identifier: NCT06012942
Recruitment Status : Recruiting
First Posted : August 28, 2023
Last Update Posted : August 28, 2023
Sponsor:
Collaborators:
The Royal Norwegian Ministry of Health
Haukeland University Hospital
University Hospital, Akershus
Trondheim University Hospital
Bodø Hospital
Information provided by (Responsible Party):
University Hospital of North Norway

Brief Summary:

The primary aim is to study change of critical frailty scale (CFS) and health related quality of life (EQ-5D-5L) in a long-term follow-up of ICU survivors. We aim to identify important ICU related predictors for change in CFS and EQ-5D-5L in long term follow up (1 yr).

Secondary aim is to investigate how CFS pre-admission is related to intrahospital treatment intensity level, severity score and mortality.


Condition or disease
Frailty Critical Illness

Detailed Description:

This is a multi-centre norwegian observational, prospective multicenter Norway coordinated from University hospital North Norway, Tromso.

The study is approved by The Regional Committee for Medical Research Ethics Northern Norway.

The following scores will be assessed by asking the patient and relative during ICU stay: CFS, EQ5DL before current critical illness.

The following demographic and clinical data will be retrieved from the medical records: Comorbidity before critical illness, reasons for ICU admission, daily severity score (SOFA- score), length of mechanical ventilation, dialysis, tracheostomy, Habitat before and after ICU treatment, ICU and hospital length of stay, complications retrieved during intensive care treatment, mortality, limitation of treatment.

The patients will be followed up with telephone interview after hospital discharge for evaluation of: Comorbidity, CFS, EQ5DData for all sites are collected and managed using RedCap electronic data capture tools.

Three research nurses will do the follow up with telephone interviews on all sites and record the data in RedCap.

We aim to enroll 300 patients before 31. Des 2024.

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Study Type : Observational
Estimated Enrollment : 300 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Prevalence and Long Term Effects of Frailty in Elderly Intensive Care Patients
Actual Study Start Date : July 7, 2022
Estimated Primary Completion Date : December 31, 2023
Estimated Study Completion Date : December 31, 2025



Primary Outcome Measures :
  1. Change in Clinical frailty score [ Time Frame: Change in Clinical Frailty score from 3 months to 12 months follow up ]
    Score from 1 to 9.

  2. EuroQol 5-Dimension 5-Level (EQ-5D-5L) [ Time Frame: Change in EQ-5D-5L from 3 months to 12 months ]
    The scale measures quality of life on a 5-component scale

  3. Mortality [ Time Frame: ICU-stay or subsequent 12 months. ]
    Mortality during ICU-stay or subsequent 12 months.


Secondary Outcome Measures :
  1. ICU readmission [ Time Frame: Long-term follow up (1 yr) ]
    ICU readmission rate

  2. ICU-LOS [ Time Frame: Through total ICU stay, up to 3 months ]
    ICU length of stay

  3. Treatment intensity level [ Time Frame: From inclusion in the study to discharge from intensive care unit, up to three months. ]
    ICU treatment intensity level



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Ages Eligible for Study:   65 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
ICU patients above 65 years old requiring invasive mechanical ventilation> 24 hours are screened for inclusion during the intensive care stay.
Criteria

Inclusion Criteria:

  • >= 65 years
  • ≥ 24 hours mechanical ventilation
  • Written informed consent from patient or next of kin

Exclusion Criteria:

  • Readmission of patient included in the study
  • Not possible to obtain a valid CFS or and EQ-5D-5L at admission or follow-up of CFS because of social context or language.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06012942


Contacts
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Contact: Bjørn A Kroken, MD 77669863 ext +47 bjorn.anders.kroken@unn.no
Contact: Shirin K Frisvold, MD/PhD 77669605 ext +47 shirin.kordasti@unn.no

Locations
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Norway
Akershus University hospital, General Intensive care department Recruiting
Lørenskog, Nordbyhagen, Norway, 1478
Contact: Ole Kristian Fossum, MD/PhD       Ole.Kristian.Fossum@ahus.no   
Haukeland University hospital, General Intensive care unit Recruiting
Bergen, Norway, 5021
Contact: Reidar Kvåle, MD7PhD       reidar.kvale@helse-bergen.no   
Nordlandssykehuset Bodø, Intensivavdelingen Recruiting
Bodø, Norway, 8005
Contact: Kristin S Berg, MD/PhD       kristin.berg2@nordlandssykehuset.no   
University Hospital of North Norway Recruiting
Tromsø, Norway, 9038
Contact: Bjørn A Kroken, MD    97514485 ext +47    bjorn.anders.kroken@unn.no   
Trondheim University hospital, General Intensive care department Recruiting
Trondheim, Norway, 7006
Contact: Daniel Bergum, MD/PhD       Daniel.Bergum@stolav.no   
Sponsors and Collaborators
University Hospital of North Norway
The Royal Norwegian Ministry of Health
Haukeland University Hospital
University Hospital, Akershus
Trondheim University Hospital
Bodø Hospital
Investigators
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Principal Investigator: Shirin K Frisvold, MD/PhD University Hospital of North Norway
Publications:
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Responsible Party: University Hospital of North Norway
ClinicalTrials.gov Identifier: NCT06012942    
Other Study ID Numbers: HNF1632-22
First Posted: August 28, 2023    Key Record Dates
Last Update Posted: August 28, 2023
Last Verified: February 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Individual participant data that underlie the results reported, after deidentification (text, tables, figures and appendices).
Supporting Materials: Study Protocol
Statistical Analysis Plan (SAP)
Time Frame: Beginning 12 months and ending 5 years following article publication.
Access Criteria: The presented dataset will be considered available from the corresponding author on reasonable request based on formal national approvals.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by University Hospital of North Norway:
clinical frailty scale
mechanical ventilation
elderly
EQ-5D-5L
Additional relevant MeSH terms:
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Frailty
Critical Illness
Pathologic Processes
Disease Attributes