A patient cohort on long-term sequelae of sepsis survivors: study protocol of the Mid-German Sepsis Cohort

• Published in: BMJ open Vol. 7; no. 8; p. e016827
• Main Authors: Scherag, André, Hartog, Christiane S, Fleischmann, Carolin, Ouart, Dominique, Hoffmann, Franziska, König, Christian, Kesselmeier, Miriam, Fiedler, Sandra, Philipp, Monique, Braune, Anke, Eichhorn, Cornelia, Gampe, Christin, Romeike, Heike, Reinhart, Konrad
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 01.08.2017; BMJ Publishing Group
• Subjects: Activities of Daily Living; Alzheimer's disease; Chronic fatigue syndrome; Cognition & reasoning; Cognitive ability; Cohort analysis; Critical care; Disability; Disability Evaluation; Documentation; Germany - epidemiology; Humans; Infections; Intensive care; Intensive Care Units; Interviews; Medical prognosis; Mortality; Pain; Patient Discharge; Patient-Centred Medicine; Patients; Prospective Studies; Proxies; Rehabilitation; Research Design; Sepsis; Sepsis - mortality; Sepsis - therapy; Severity of Illness Index; Survivors; Germany; mortality; prognostic factors; morbidity; sepsis; long-term
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2017-016827

IntroductionAn increasing number of patients survive sepsis; however, we lack valid data on the long-term impact on morbidity from prospective observational studies. Therefore, we designed an observational cohort to quantify mid-term and long-term functional disabilities after intensive care unit (ICU)-treated sepsis. Ultimately, findings for the Mid-German Sepsis Cohort (MSC) will serve as basis for the implementation of follow-up structures for patients with sepsis and help to increase quality of care for sepsis survivors.Methods and analysisAll patients surviving ICU-treated sepsis are eligible and are recruited from five study centres in Germany (acute care hospital setting in Jena, Halle/Saale, Leipzig, Bad Berka, Erfurt; large long-term acute care hospital and rehabilitation setting in Klinik Bavaria Kreischa). Screening is performed by trained study nurses. Data are collected on ICU management of sepsis. On written informed consent provided by patients or proxies, follow-up is carried out by trained research staff at 3, 6 and 12 months and yearly thereafter. The primary outcome is functional disability as assessed by (instrumental) activities of daily living. Other outcomes cover domains like mortality, cognitive, emotional and physical impairment, and resource use. The estimated sample size of 3000 ICU survivors is calculated to allow detection of relevant changes in the primary outcome in sepsis survivors longitudinally.Ethics and disseminationThe study is conducted according to the current version of the Declaration of Helsinki and has been approved by four local/federal responsible institutional ethics committees and by the respective federal data protection commissioners. Results of MSC will be fed back to the patients and published in peer-reviewed journals.Trial registration numberGerman Clinical Trials Registry DRKS00010050.