The impact of post-discharge call interview to improve the screening of post-intubation tracheal stenosis : an experimental study
Joint Authors
Fesharaki, Muhammad Ghulami
Zangi, Mahdi
al-Ihashim, Maryam
Kalhori, Sharareh R. Niakan
Barari, Behjat
Bashar, Farshid Rahimi
Farzanegan, Behrooz
Shadmehr, Muhammad Behgam
Farzanegan, Roya
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 19, Issue 1 (31 Jan. 2017), pp.1-11, 11 p.
Publisher
Publication Date
2017-01-31
Country of Publication
United Arab Emirates
No. of Pages
11
Main Subjects
Abstract EN
Background: Tracheal stenosis is one of the worst complications of endotracheal intubation, but timely diagnosis can change its natural history.
Managementof these patients places a great burdenonthe health care system andthe well-being of the patientsand their families.
Therefore, discharged intensive-care-unit (ICU) patients who underwent more than 24 hours of intubation should be actively followed-up 3 months after extubation and screened for post-intubation tracheal stenosis.
The present study was aimed at assessing the impact of post-discharge follow-up call interviews on increasing successful screening for post-intubation tracheal stenosis.
Objectives: To determine the effect of post-discharge call interviews on improving screening of post-intubation tracheal stenosis.
Methods: This experimental study was conducted in Iran in September 2014.
Using the simple randomization method, 140 patients who had undergone than 24 hours of endotracheal intubation and had received oral and written educational materials upon discharge from the ICU were equally assigned to an intervention and a control groups (received a call interview before or after the follow-up due date, respectively).
The needed sample size was calculated to be 70 participants in each group (considering = 5%, the statistical power of 90%, and effect size = 0.4).
Results: There was a significant difference in follow-up rates at the due date between the intervention group (50.7%, 34of 67 participants) and the control group (17.5%, 11 of 63 participants) (OR = 4.871, 95% CI = 2.172 to 10.924, P < 0.0001).
In the control group, the call interviews significantly increased the follow-up rate from 17.5% to 66.7 % (42 of 63 participants) (P < 0.0001), although followup occurred after the due date.
The results of the logistic regression model showed that the patients who had attempted suicide completed follow-up more than those who had not (P = 0.017), that interviews with patients and their parents were more effect than interviews with others (P < 0.05), and that phone call interviews after the follow-up due date were more effective than those before the follow-up due date (OR = 2.653, 95%CI = 1.079 to 6.526, P = 0.034).
Conclusions:We highly recommend making call interviews, along with distributing the oral and written educational materials, to increase the follow-up rate among discharged ICU patients.
American Psychological Association (APA)
Farzanegan, Roya& al-Ihashim, Maryam& Farzanegan, Behrooz& Kalhori, Sharareh R. Niakan& Barari, Behjat& Zangi, Mahdi…[et al.]. 2017. The impact of post-discharge call interview to improve the screening of post-intubation tracheal stenosis : an experimental study. Iranian Red Crescent Medical Journal،Vol. 19, no. 1, pp.1-11.
https://search.emarefa.net/detail/BIM-766857
Modern Language Association (MLA)
Farzanegan, Roya…[et al.]. The impact of post-discharge call interview to improve the screening of post-intubation tracheal stenosis : an experimental study. Iranian Red Crescent Medical Journal Vol. 19, no. 1 (Jan. 2017), pp.1-11.
https://search.emarefa.net/detail/BIM-766857
American Medical Association (AMA)
Farzanegan, Roya& al-Ihashim, Maryam& Farzanegan, Behrooz& Kalhori, Sharareh R. Niakan& Barari, Behjat& Zangi, Mahdi…[et al.]. The impact of post-discharge call interview to improve the screening of post-intubation tracheal stenosis : an experimental study. Iranian Red Crescent Medical Journal. 2017. Vol. 19, no. 1, pp.1-11.
https://search.emarefa.net/detail/BIM-766857
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 10-11
Record ID
BIM-766857