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van CCT (UK)

van CCT (UK)

IC-physician vs. Qualified IC-nurse-based interhospital critical care transport (IQ-transport) study.

- candidate number1941
- NTR NumberNTR572
- Date ISRCTN created14-feb-2006
- date ISRCTN requested13-feb-2006
- Date Registered NTR25-jan-2006
- Secondary IDsN/A 
- Public TitleIC-physician vs. Qualified IC-nurse-based interhospital critical care transport (IQ-transport) study.
- Scientific TitleIC-physician vs. Qualified IC-nurse-based interhospital critical care transport (IQ-transport) study.
- ACRONYMIQ-transport study
- hypothesisInterhospital transport of IC-patients can be escorted solely by an registered IC-nurse.
- Healt Condition(s) or Problem(s) studiedIntensive Care (IC) patients
- Inclusion criteriaConsecutive IC-patients (> 18 years of age) transported by the Mobile Intensive Care Unit, Academic Medical Center, University of Amsterdam.
- Exclusion criteriaIC-patients considered to be too instable to be transported without a physician as team member (one or more of the following criteria: 1. Pa02/Fi02 < 100 with PEEP >15; 2. Mean arterial pressure < 60 mmHg despite adequate fluid therapy and inotropics (noradrenalin > 0,35 kg/microg/min, dopamine > 15 kg/microg/min); 3. Episode of resuscitation (chest compression or cardiac defibrilliation) in 24 hours before interhospital transport.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type-
- Studytypeintervention
- planned startdate 1-feb-2006
- planned closingdate1-feb-2008
- Target number of participants300
- InterventionsStudy strategies 1. Transport will be performed by a physician-based team: an IC-trained physician will accompany a registered IC-nurse 2. Transport will be performed solely by a registered IC-nurse. In this startegy, an IC-physician is physically present during inter-hospital transport; however, the physician does not play any role in treatment of patient until a formal request is made by the IC-nurse. In both strategies the ambulance crew is present.
- Primary outcomeIncidence of critical events defined as: 1. Related to intensive care (lead disconnections, loss of battery power or any other technical equipment failure, airway loss requiring airway manipulation or reintubation, loss of any intravascular device, dislodgment of any thoracostomy tube, Foley catheter, or surgical drain); 2. Clinical deteriorations related to critical illness (death, decrease in arterial saturation of >10% for >10 mins, undesired rise or fall in arterial bloodpressure (systolic, diastolic or mean, defined as >20 mm Hg from baseline for >10 mins), hemorrhage or blood loss estimated to be >250 ml, new cardiac arrhythmias with associated hemodynamic deterioration or are generally accepted as requiring urgent therapy (occasional premature ventricular or atrial contractions were not considered significant), temperature fall below 36 degrees Celsius.
- Secondary outcomeN/A
- Timepoints
- Trial web siteN/A
- statusopen: patient inclusion
- Sponsor/Initiator Academic Medical Center (AMC), Mobile Intensive Care Unit
- Funding
(Source(s) of Monetary or Material Support)
Academic Medical Center (AMC), Amsterdam
- PublicationsN/A
- Brief summaryThere is an increased need for inter-hospital transport of intensive care (IC)-patients in the Netherlands (1). During inter-hospital transport, adverse events may take place which can not be treated by members of a normal ambulance team. By using a Mobile Intensive Care Unit (MICU), consisting of an ambulance trolley with IC-equipment, and a team consisting of an IC-trained physician and IC-nurse, interhospital transport is save (2). At present, costs and scarcity of IC-trained physicians hampers broad implementation of MICU, despite Dutch guidelines (4). The need of physical presence of an IC-trained physician during inter-hospital transport has never been the topic of investigation. (1) Bakker J, van Lieshout EJ. Transport of critically ill patients: we can do better! Neth J Med 2000 November;57(5):177-9. (2) Bellingan G, Olivier T, Batson S, Webb A. Comparison of a specialist retrieval team with current United Kingdom practice for the transport of critically ill patients. Intensive Care Med 2000 June;26(6):740-4. (4) Dutch Healthcare Inspectorate. 'Special transport facilities have undergone positive development but too many problems remain' in Emergency Medicine in the Netherlands. the Hague; 2004 Jan 9.
- Main changes (audit trail)
- RECORD25-jan-2006 - 6-mrt-2006

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