Prognostic Estimates Among ICU Clinicians Caring for Patients Requiring Prolonged Mechanical Ventilation
Rush University Medical Center
Summary
One challenge with decision making for mechanically ventilated is that their prognosis is often uncertain. The ProVent-14 score incorporates clinical variables measured on the 14th day of mechanical ventilation to predict risk of death in one year. The ProVent-14 is easy to calculate has been externally validated. However, it is unclear how often clinicians use the ProVent-14 score to predict long-term outcomes for patients requiring 14 days of mechanical ventilation or if it helps clinicians make more accurate predictions. The purpose of this study is to determine whether ICU clinicians who receive a patient's ProVent-14 score make more accurate predictions for mortality at one year than ICU clinicians who do not.
Eligibility
- Age range
- Not specified
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * ICU day-shift attending physician, fellow physician, advanced practice provider, or nurse * Caring directly for a patient who requires invasive mechanical ventilation, 14-16 days after initial intubation, not actively transitioning to comfort-focused care and not with a neuromuscular disease (i.e. ALS) as a cause of respiratory failure. Exclusion Criteria: * None
Interventions
- BehavioralProVent-14 score
A score to estimate one-year mortality for patients requiring at least 14 days of mechanical ventilation
Locations (3)
- Rush University Medical CenterChicago, Illinois
- Rush Oak Park HospitalOak Park, Illinois
- University of North CarolinaChapel Hill, North Carolina