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Effect of a Primary Care Management Intervention on Mental Health-Related Quality of Life Among Survivors of Sepsis: A Randomized Clinical Trial.
JAMA. 2016 Jun 28; 315(24):2703-11.JAMA

Abstract

IMPORTANCE

Survivors of sepsis face long-term sequelae that diminish health-related quality of life and result in increased care needs in the primary care setting, such as medication, physiotherapy, or mental health care.

OBJECTIVE

To examine if a primary care-based intervention improves mental health-related quality of life.

DESIGN, SETTING, AND PARTICIPANTS

Randomized clinical trial conducted between February 2011 and December 2014, enrolling 291 patients 18 years or older who survived sepsis (including septic shock), recruited from 9 intensive care units (ICUs) across Germany.

INTERVENTIONS

Participants were randomized to usual care (n = 143) or to a 12-month intervention (n = 148). Usual care was provided by their primary care physician (PCP) and included periodic contacts, referrals to specialists, and prescription of medication, other treatment, or both. The intervention additionally included PCP and patient training, case management provided by trained nurses, and clinical decision support for PCPs by consulting physicians.

MAIN OUTCOMES AND MEASURES

The primary outcome was change in mental health-related quality of life between ICU discharge and 6 months after ICU discharge using the Mental Component Summary (MCS) of the 36-Item Short-Form Health Survey (SF-36 [range, 0-100; higher ratings indicate lower impairment; minimal clinically important difference, 5 score points]).

RESULTS

The mean age of the 291 patients was 61.6 years (SD, 14.4); 66.2% (n = 192) were men, and 84.4% (n = 244) required mechanical ventilation during their ICU stay (median duration of ventilation, 12 days [range, 0-134]). At 6 and 12 months after ICU discharge, 75.3% (n = 219 [112 intervention, 107 control]) and 69.4% (n = 202 [107 intervention, 95 control]), respectively, completed follow-up. Overall mortality was 13.7% at 6 months (40 deaths [21 intervention, 19 control]) and 18.2% at 12 months (53 deaths [27 intervention, 26 control]). Among patients in the intervention group, 104 (70.3%) received the intervention at high levels of integrity. There was no significant difference in change of mean MCS scores (intervention group mean at baseline, 49.1; at 6 months, 52.9; change, 3.79 score points [95% CI, 1.05 to 6.54] vs control group mean at baseline, 49.3; at 6 months, 51.0; change, 1.64 score points [95% CI, -1.22 to 4.51]; mean treatment effect, 2.15 [95% CI, -1.79 to 6.09]; P = .28).

CONCLUSIONS AND RELEVANCE

Among survivors of sepsis and septic shock, the use of a primary care-focused team-based intervention, compared with usual care, did not improve mental health-related quality of life 6 months after ICU discharge. Further research is needed to determine if modified approaches to primary care management may be more effective.

TRIAL REGISTRATION

isrctn.org Identifier: ISRCTN61744782.

Authors+Show Affiliations

Institute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany2Center of Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.Institute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany2Center of Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.Group Health Research Institute, Group Health Cooperative, Seattle, Washington.Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.Center of Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany5Center of Clinical Studies, Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany.Department of Psychology, University of Zuerich, Zuerich, Switzerland.Center of Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany7Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany.Institute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany.Institute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany.Center of Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.Institute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany.Center of Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany8Department of Anaesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany.Institute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany9Department of General Practice and Health Services, University of Heidelberg Hospital, Heidelberg, Germany.Institute of General Practice and Family Medicine, Jena University Hospital, Jena, Germany2Center of Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.No affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27367877

Citation

Schmidt, Konrad, et al. "Effect of a Primary Care Management Intervention On Mental Health-Related Quality of Life Among Survivors of Sepsis: a Randomized Clinical Trial." JAMA, vol. 315, no. 24, 2016, pp. 2703-11.
Schmidt K, Worrack S, Von Korff M, et al. Effect of a Primary Care Management Intervention on Mental Health-Related Quality of Life Among Survivors of Sepsis: A Randomized Clinical Trial. JAMA. 2016;315(24):2703-11.
Schmidt, K., Worrack, S., Von Korff, M., Davydow, D., Brunkhorst, F., Ehlert, U., Pausch, C., Mehlhorn, J., Schneider, N., Scherag, A., Freytag, A., Reinhart, K., Wensing, M., & Gensichen, J. (2016). Effect of a Primary Care Management Intervention on Mental Health-Related Quality of Life Among Survivors of Sepsis: A Randomized Clinical Trial. JAMA, 315(24), 2703-11. https://doi.org/10.1001/jama.2016.7207
Schmidt K, et al. Effect of a Primary Care Management Intervention On Mental Health-Related Quality of Life Among Survivors of Sepsis: a Randomized Clinical Trial. JAMA. 2016 Jun 28;315(24):2703-11. PubMed PMID: 27367877.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of a Primary Care Management Intervention on Mental Health-Related Quality of Life Among Survivors of Sepsis: A Randomized Clinical Trial. AU - Schmidt,Konrad, AU - Worrack,Susanne, AU - Von Korff,Michael, AU - Davydow,Dimitry, AU - Brunkhorst,Frank, AU - Ehlert,Ulrike, AU - Pausch,Christine, AU - Mehlhorn,Juliane, AU - Schneider,Nico, AU - Scherag,André, AU - Freytag,Antje, AU - Reinhart,Konrad, AU - Wensing,Michel, AU - Gensichen,Jochen, AU - ,, PY - 2016/7/2/entrez PY - 2016/7/2/pubmed PY - 2016/7/14/medline SP - 2703 EP - 11 JF - JAMA JO - JAMA VL - 315 IS - 24 N2 - IMPORTANCE: Survivors of sepsis face long-term sequelae that diminish health-related quality of life and result in increased care needs in the primary care setting, such as medication, physiotherapy, or mental health care. OBJECTIVE: To examine if a primary care-based intervention improves mental health-related quality of life. DESIGN, SETTING, AND PARTICIPANTS: Randomized clinical trial conducted between February 2011 and December 2014, enrolling 291 patients 18 years or older who survived sepsis (including septic shock), recruited from 9 intensive care units (ICUs) across Germany. INTERVENTIONS: Participants were randomized to usual care (n = 143) or to a 12-month intervention (n = 148). Usual care was provided by their primary care physician (PCP) and included periodic contacts, referrals to specialists, and prescription of medication, other treatment, or both. The intervention additionally included PCP and patient training, case management provided by trained nurses, and clinical decision support for PCPs by consulting physicians. MAIN OUTCOMES AND MEASURES: The primary outcome was change in mental health-related quality of life between ICU discharge and 6 months after ICU discharge using the Mental Component Summary (MCS) of the 36-Item Short-Form Health Survey (SF-36 [range, 0-100; higher ratings indicate lower impairment; minimal clinically important difference, 5 score points]). RESULTS: The mean age of the 291 patients was 61.6 years (SD, 14.4); 66.2% (n = 192) were men, and 84.4% (n = 244) required mechanical ventilation during their ICU stay (median duration of ventilation, 12 days [range, 0-134]). At 6 and 12 months after ICU discharge, 75.3% (n = 219 [112 intervention, 107 control]) and 69.4% (n = 202 [107 intervention, 95 control]), respectively, completed follow-up. Overall mortality was 13.7% at 6 months (40 deaths [21 intervention, 19 control]) and 18.2% at 12 months (53 deaths [27 intervention, 26 control]). Among patients in the intervention group, 104 (70.3%) received the intervention at high levels of integrity. There was no significant difference in change of mean MCS scores (intervention group mean at baseline, 49.1; at 6 months, 52.9; change, 3.79 score points [95% CI, 1.05 to 6.54] vs control group mean at baseline, 49.3; at 6 months, 51.0; change, 1.64 score points [95% CI, -1.22 to 4.51]; mean treatment effect, 2.15 [95% CI, -1.79 to 6.09]; P = .28). CONCLUSIONS AND RELEVANCE: Among survivors of sepsis and septic shock, the use of a primary care-focused team-based intervention, compared with usual care, did not improve mental health-related quality of life 6 months after ICU discharge. Further research is needed to determine if modified approaches to primary care management may be more effective. TRIAL REGISTRATION: isrctn.org Identifier: ISRCTN61744782. SN - 1538-3598 UR - https://www.unboundmedicine.com/medline/citation/27367877/Effect_of_a_Primary_Care_Management_Intervention_on_Mental_Health_Related_Quality_of_Life_Among_Survivors_of_Sepsis:_A_Randomized_Clinical_Trial_ L2 - https://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2016.7207 DB - PRIME DP - Unbound Medicine ER -