{
  "abstract": "Introduction Intensive care units (ICUs) can be a particularly challenging environment for patients who are mentally vulnerable. In addition to the physical stress associated with critical illness and its management, there are physiological and psychosocial factors that can negatively impact a patient’s mental health. Approximately half of ICU survivors will experience post-intensive care syndrome, a set of emotional, neuropsychological and physical sequelae that can significantly affect patients’ functionality and quality of life, both in the short and long term. The main objective of this study is to investigate whether the ICU Recovery Answers (ICURA) digital follow-up platform can effectively detect emotional and cognitive problems in critically ill patients and its impact on functionality and health-related quality of life during the first year after ICU discharge.Methods and analysis Multicentre longitudinal prospective study involving ICU adult patients, with randomised follow-up comparing a telemedicine monitoring programme versus usual medical care during 1 year after discharge. A total of 360 participants will be recruited during their ICU admission in two hospitals in Spain. Efficacy outcomes will focus on participants’ level of functioning, assessed with the WHO Short Disability Assessment Schedule, and quality of life, measured with the 12-Item Short Form Survey at 1, 6 and 12 months after ICU discharge. Emotional state and cognitive impairment will be evaluated using the Patient Health Questionnaire-9, Generalised Anxiety Disorder-7 and Treatment-Outcome Post-Traumatic Stress Disorder Scale and the Montreal Cognitive Assessment by telephone at 1, 3, 6, 9 and 12 months after ICU discharge.Ethics and dissemination The implementation of this project is expected to have a direct impact on the satisfaction of ICU survivors, improving their well-being, personalised follow-up and quality of life. Results from this study will be disseminated at various scientific conferences, national and international meetings, and will be shared with the general public and other relevant parties. The dissemination of these results will occur through scientific publications, allowing the medical and scientific community to benefit from the study’s findings. Ethics approval from the Ethics Board of Parc Taulí Foundation and Balearic Islands with reference numbers 2022/3031 and IB 5072/22 PI: Protocol version 1 of 18 November 2022.Trial registration number NCT06504979.",
  "authors": [
    {
      "affiliations": [
        "Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, Palma, Balearic Islands, Spain",
        "Health Research Institute of the Balearic Islands (IdISBa), Son Espases University Hospital, Palma, Balearic Islands, Spain"
      ],
      "name": "Esther Llabrés-Álvarez"
    },
    {
      "affiliations": [
        "Critical Care Department, Son Espases University Hospital, Palma, Balearic Islands, Spain"
      ],
      "name": "Maria Riera-Sagrera"
    },
    {
      "affiliations": [
        "Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, Palma, Balearic Islands, Spain",
        "Health Research Institute of the Balearic Islands (IdISBa), Son Espases University Hospital, Palma, Balearic Islands, Spain"
      ],
      "name": "Aina Llompart-Casasnovas"
    },
    {
      "affiliations": [
        "Internal Medicine Department, Son Espases University Hospital, Palma, Balearic Islands, Spain"
      ],
      "name": "Pilar Salvá"
    },
    {
      "affiliations": [
        "Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, Palma, Balearic Islands, Spain",
        "Health Research Institute of the Balearic Islands (IdISBa), Son Espases University Hospital, Palma, Balearic Islands, Spain",
        "Department of Psychology, University of the Balearic Islands, Palma, Balearic Islands, Spain"
      ],
      "name": "Adoración Castro"
    },
    {
      "affiliations": [
        "Critical Care Department, Institut d’Investigació i Innovació Parc Taulí (I3PT‑CERCA), Sabadell, Catalonia, Spain",
        "Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain",
        "Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain"
      ],
      "name": "Marta Godoy-González"
    },
    {
      "affiliations": [
        "Critical Care Department, Institut d’Investigació i Innovació Parc Taulí (I3PT‑CERCA), Sabadell, Catalonia, Spain",
        "Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain"
      ],
      "name": "Elisabet Doña-López"
    },
    {
      "affiliations": [
        "Critical Care Department, Institut d’Investigació i Innovació Parc Taulí (I3PT‑CERCA), Sabadell, Catalonia, Spain",
        "Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain"
      ],
      "name": "Josefina López-Aguilar"
    },
    {
      "affiliations": [
        "Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain",
        "Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain",
        "Neurology Department, Parc Taulí Hospital Universitari, Sabadell, Catalonia, Spain"
      ],
      "name": "Mercè Jodar"
    },
    {
      "affiliations": [
        "Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, Palma, Balearic Islands, Spain",
        "Health Research Institute of the Balearic Islands (IdISBa), Son Espases University Hospital, Palma, Balearic Islands, Spain",
        "Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain",
        "Department of Medicine, University of the Balearic Islands, Palma, Balearic Islands, Spain"
      ],
      "name": "Guillem Navarra-Ventura"
    },
    {
      "affiliations": [
        "Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, Palma, Balearic Islands, Spain",
        "Health Research Institute of the Balearic Islands (IdISBa), Son Espases University Hospital, Palma, Balearic Islands, Spain",
        "Department of Psychology, University of the Balearic Islands, Palma, Balearic Islands, Spain"
      ],
      "name": "Margalida Gili"
    },
    {
      "affiliations": [
        "Research Institute of Health Sciences (IUNICS), University of the Balearic Islands, Palma, Balearic Islands, Spain",
        "Health Research Institute of the Balearic Islands (IdISBa), Son Espases University Hospital, Palma, Balearic Islands, Spain",
        "Department of Medicine, University of the Balearic Islands, Palma, Balearic Islands, Spain"
      ],
      "name": "Miquel Roca"
    },
    {
      "affiliations": [
        "Critical Care Department, Institut d’Investigació i Innovació Parc Taulí (I3PT‑CERCA), Sabadell, Catalonia, Spain",
        "Department of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain",
        "Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain"
      ],
      "name": "Sol Fernández-Gonzalo"
    }
  ],
  "title": "Implementation of a digital tool for monitoring and managing the emotional and cognitive sequelae of post-intensive care syndrome: ICURA study protocol for a randomised clinical trial",
  "uid": "ad27f796-0d09-52dc-a535-702fc49f0a5b"
}