IC-physician versus qualified IC-nurse-based interhospital critical care transport (IQ-transport) study

ISRCTN	ISRCTN39701540
DOI	https://doi.org/10.1186/ISRCTN39701540
Protocol serial number	N/A
Sponsor	Academic Medical Center (AMC), Mobile Intensive Care Unit (The Netherlands)
Funder	Academic Medical Center (AMC)

Submission date: 14/02/2006
Registration date: 14/02/2006
Last edited: 12/05/2016

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Other

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr E.J. Lieshout, van
Scientific

Academic Medical Center (AMC)
Department of Intensive Care and Mobile Intensive Care Unit (MICU)
P.O. Box 22660
Amsterdam
1100 DD
Netherlands

Phone	+31 (0)20 5665043
Email	e.j.vanlieshout@amc.nl

Study information

Primary study design	Interventional
Study design	Randomised controlled trial
Secondary study design	Randomised controlled trial
Study type	Participant information sheet
Scientific title	IC-physician versus qualified IC-nurse-based interhospital critical care transport (IQ-transport) study
Study acronym	IQ-transport study
Study objectives	Interhospital transport of IC-patients can be escorted solely by a registered IC-nurse.
Ethics approval(s)	Not provided at time of registration
Health condition(s) or problem(s) studied	Intensive Care (IC) patients
Intervention	Study strategies: 1. Transport will be performed by a physician-based team: an IC-trained physician will accompany a registered IC-nurse 2. Transport will be performed solely by a registered IC-nurse. In this strategy, an IC-physician is physically present during inter-hospital transport; however, the physician does not play any role in the treatment of patient until a formal request is made by the IC-nurse. In both strategies the ambulance crew is present.
Intervention type	Other
Primary outcome measure(s)	Incidence of critical events defined as: 1. Related to intensive care (lead disconnections, loss of battery power or any other technical equipment failure, airway loss requiring airway manipulation or reintubation, loss of any intravascular device, dislodgment of any thoracostomy tube, Foley catheter, or surgical drain) 2. Clinical deteriorations related to critical illness (death, decrease in arterial saturation of >10% for >10 min, undesired rise or fall in arterial blood pressure [systolic, diastolic or mean, defined as >20 mmHg from baseline for >10 min], hemorrhage or blood loss estimated to be >250 ml, new cardiac arrhythmias with associated hemodynamic deterioration or are generally accepted as requiring urgent therapy [occasional premature ventricular or atrial contractions were not considered significant], temperature fall below 36 degrees Celsius)
Key secondary outcome measure(s)	No secondary outcome measures
Completion date	01/02/2008

Eligibility

Participant type(s)	Patient
Age group	Adult
Lower age limit	18 Years
Sex	All
Target sample size at registration	300
Key inclusion criteria	Consecutive IC-patients (>18 years of age) transported by the Mobile Intensive Care Unit, Academic Medical Center, University of Amsterdam.
Key exclusion criteria	IC-patients considered to be too instable to be transported without a physician as team member - one or more of the following criteria: 1. Pa02/Fi02 <100 with PEEP >15 2. Mean arterial pressure <60 mmHg despite adequate fluid therapy and inotropics (noradrenalin >0.35 kg/microg/min, dopamine >15 kg/microg/min) 3. Episode of resuscitation (chest compression or cardiac defibrillation) in 24 hours before interhospital transport
Date of first enrolment	01/02/2006
Date of final enrolment	01/02/2008

Locations

Countries of recruitment

Netherlands

Study participating centre

Academic Medical Center (AMC)

Amsterdam
1100 DD
Netherlands

Results and Publications

Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	results	01/07/2016		Yes	No
Participant information sheet	Participant information sheet	11/11/2025	11/11/2025	No	Yes

Editorial Notes

12/05/2016: Publication reference added.