NCT04490278

COVID-19 Virtual Post Intensive Care Syndrome (CoV-PICS) Clinic: Modern, Convenient and Practical Recovery Care

Extracted Fields (from Registry)
Protocol IDNCT04490278
Registration Date2020-07-29
Statuscompleted
SponsorWashington University School of Medicine
CountryUnited States
Industrynot industry
Blindingunblinded
Center Typesingel-center RCT
Scopenational RCT
First Patient In2020-09-29
Last Patient Out2021-06-30
Publicationy
Gender %ALL
Mean Age18 Years - 100 Years
LLM Classifications (Side-by-Side)
Field OPENAI
gpt-4o
Thinking: o3
3918ms / 9240 tok
GLM
glm-5.1
8806ms / 9409 tok
CLAUDE
claude-sonnet-4-20250514
Thinking: claude-opus-4-20250514
5205ms / 10763 tok
Review
rct_type N/A N/A N/A OK
cancer_status non-cancer non-cancer non-cancer OK
non_cancer_spec N/A N/A N/A OK
setting_patient outpatient outpatient outpatient OK
setting_place home care home care → other → home care
shaky reasoning
✓ Unanimous Initial: home care Requery: other — The intervention is delivered through a telehealth-only virtual clinic, not requiring patients to be in a specific location like a hospital or hospice, fitting the 'other' category. Thinking: home care — Intervention consists of telehealth virtual clinic visits and online questionnaires completed by patients at home after hospital discharge.
home care other
shaky reasoning
✓ Unanimous Initial: other
home care home care → home care → home care
shaky reasoning
✓ Unanimous Initial: home care Requery: home care — This is a virtual telehealth clinic delivered to patients in their homes via internet connection or smartphone. Thinking: home care — The intervention is delivered entirely via telehealth to patients at home through virtual visits and online questionnaires, requiring home internet/smartphone access.
OK
feasibility feasibility RCT feasibility RCT feasibility RCT OK
intervention_pharmacologic no no no OK
intervention_chemo_immuno_radio no no no OK
intervention_complementary no no no OK
intervention_device no no no OK
intervention_psychological no no no OK
intervention_complex no no → yes → no
shaky reasoning
✓ Unanimous Initial: no Requery: yes — The intervention combines telehealth consultations, medical record reviews, and multiprofessional evaluations to create a comprehensive treatment plan, representing a multi-component approach involving both medical and organizational elements. Thinking: no — Telehealth PICS clinic is a single supportive/organizational intervention (virtual assessment plus care plan) rather than two distinct modality types.
no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — The intervention is a single-modality supportive care model that evaluates a virtual clinic using medical record reviews and online questionnaires as part of a standard telehealth visit.
no yes → no → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — This is a single-modality telehealth intervention that evaluates virtual clinic visits and questionnaires, without combining distinct intervention types from different categories. Thinking: no — This is a single-modality virtual clinic service where record review and questionnaires are assessment tools within the clinical consultation process, not separate interacting interventions.
OK
intervention_acp no no no OK
intervention_music no no no OK
intervention_screening no no no OK
intervention_palliative no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — The intervention is a virtual clinic for COVID-19 recovery, not a palliative care consultation or service.
no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — This study evaluates a virtual post-ICU recovery clinic for COVID-19 survivors, which is a supportive aftercare model rather than a specific palliative care consultation or service intervention.
no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — This study evaluates a virtual post-ICU care clinic delivery model, not palliative care consultation or services as the intervention.
OK
intervention_education no no no OK
intervention_digital yes yes yes OK
intervention_other yes yes → yes
shaky reasoning
✓ Unanimous Initial: yes Requery: yes — The intervention involves a virtual post-ICU syndrome clinic focusing on medical record review and online questionnaires, fitting as an organizational change and telehealth service, not listed in the specified categories.
yes no
shaky reasoning
✓ Unanimous Initial: no
yes no → yes
shaky reasoning
✓ Unanimous Initial: no Requery: yes — This intervention involves organizational/care delivery changes through implementation of a virtual telehealth clinic model for post-ICU care, which does not fit the pharmacologic, device, psychological, education, or other specified categories.
OK
outcome_symptom yes yes → yes
shaky reasoning
✓ Unanimous Initial: yes Requery: yes — The trial includes symptom measures related to Post Intensive Care Syndrome (PICS), specifically assessing symptoms like cognitive function, nutrition risk which includes symptoms, and memory using validated instruments such as the Montreal Cognitive Assessment (MoCA) and PG-SGA.
yes yes → yes
shaky reasoning
✓ Unanimous Initial: yes Requery: yes — The trial assesses symptoms using the ICU Memory Tool (intrusive memories, panic) and the Patient-Generated Subjective Global Assessment (PG-SGA), which includes an evaluation of nutritional-impact symptoms such as nausea and appetite.
yes no → yes
shaky reasoning
✓ Unanimous Initial: no Requery: yes — The study includes secondary outcomes measuring Post Intensive Care Syndrome (PICS) symptoms including nutrition-related symptoms via the Scored Patient-Generated Subjective Global Assessment (PG-SGA) which assesses symptoms and their impact, and memory/psychological symptoms via the ICU Memory Tool measuring delusional memories, panic feelings, and intrusive memories.
OK
outcome_qol no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — The clinical trial does not use any validated quality of life instrument like EORTC QLQ-C30, FACT-G, or EQ-5D; the outcomes focus on symptom assessments and daily living activities, which are not classified as quality of life measures.
no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — The outcomes focus on acceptability/feasibility measures (AIM, IAM, FIM), functional independence (Katz ADL), cognitive screening (MoCA), nutritional status (PG-SGA), and ICU memory, none of which are validated quality of life instruments.
no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — The study measures acceptability, feasibility, symptoms, cognitive function, activities of daily living, nutrition, and memory but does not use any validated quality of life instruments like EORTC QLQ-C30, FACT-G, SF-36, or EQ-5D.
OK
outcome_dignity no no no OK
outcome_cost no no no OK
outcome_other yes yes yes OK
pharmacologic_sub N/A N/A N/A OK
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