Drawing the Line Between Medium Care and Intensive Care. A Prospective Observational Study Based on the Nursing Activities Score

NCT01633606 | Completed

• 1 other identifier: NAS-ICU-2012
• Study Type: observational
• Target: 1,000
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of the study is to develop a screening instrument, based on the nursing activities score, by which we can distinguish medium care patients from the intensive care patients in terms of nurse staffing. The main study question is: What is the most discriminative NAS cut off for medium care patient? Each nursing shift the NAS and TISS 28 scores will be calculated for each patient who is admitted to the 8 participating units. Nurses will be asked to answer 3 questions (see detailed description here under)at the end of their working shift concerning each patient appointed to them. Each morning medical staff and head nurses will be asked 2 questions (see detailed description here under) for concerning patient admitted to there ward. In order to determine the NAS cut off for medium care patient, all morning questionnaire scores will be compared to the NAS an TISS28 scores of that same morning. Secondary study questions are:

• Can NAS score based on one nursing shift predict the severity of care in the subsequent nursing shift?
• Is there a difference in appreciation of severity of care between nurses, head nurses and medical staff?
• Which variables influence the perception of severity of care?
• How does NAS relate to TISS28, APACHE and NEMS?

Conditions

Critical Illness

Keywords

severity of illness; scoring; medium care; intensive care; staffing

Outcome Measures

Primary Outcomes (1)

• most discriminative NAS cut off for identifying medium care patient versus intensive care patient

  1 year

Study Arms (1)

Acute patients

Patients admitted to the surgical and general ICU (including burn unit), to the coronary care unit, to the emergency department high care zone, to the medical ICU, to the medical medium care unit

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

acute patients

You may qualify if:

• admission to one of the 9 critical area's

Sponsors & Collaborators

• KU Leuven: lead

MeSH Terms

Conditions

Critical Illness

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Greet Van den Berghe, MD PhD

  Catholic University Leuven

  STUDY DIRECTOR

• Karen Decock, RS

  Universitaire Ziekenhuizen KU Leuven

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: professor

Study Record Dates

• First Submitted: July 2, 2012
• First Posted: July 4, 2012
• Study Start: February 1, 2013
• Primary Completion: September 1, 2013
• Study Completion: September 1, 2013
• Last Updated: January 29, 2014

Record last verified: 2014-01