Core Outcome Measures in Effectiveness Trials

Developing a core outcome set to measure the effectiveness of critical care outreach systems

General Information

Summary:
Critical care outreach teams were developed on the premise that early detection and prompt resuscitation of acutely deteriorating ward patients would prevent trajectory to serious adverse events including cardiac arrest, unanticipated intensive care admission, and death. Although the concept of outreach teams has been embraced globally, the clinical and cost effectiveness has not been borne out in the literature. This is in part due to the heterogeneity in care models, given the paucity of evidence in how to structure a team, but also due to the lack of consistent and clear outcomes to measure. Therefore it is difficult to analyse systems and performance nationally or internationally. Anecdotal evidence suggests outreach teams are beneficial but this is controversial in the literature. A consistent method of reporting research is required to build a sound evidence base to justify current expenditure and secure future funding.

Contributors:
Dr Dhupal Patel
Professor John Clarkson
Dr Charlotte Summers

Further Study Information

Current Stage:
Ongoing
Date:
August 2018
Funding source(s):
NIHR Academic Clinical Fellow Applying for funding for PhD

Health Area

Disease Category
Other

Disease Name
N/A

Target Population

Age Range
0 - 110

Sex
Either


Nature / type of Intervention
Other

Method(s)

Delphi process
Literature review
Semi structured discussion
Survey
Systematic review

Systematic review to identify current measures in existence
Process mapping to understand needs of the system
Delphi to identify consensus measures


Stakeholders Involved

Clinical experts
Consumers (patients)
Economists
Families
Patient/ support group representatives
Service commissioners
Service providers
Service users

Study Type

COS for clinical trials or clinical research
COS for practice

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