Data from critically ill patients with either respiratory failure or burn injury
Patients will have a complete assessment as soon as possible after admission, preferably within the first 24 hours. This will include collection of data regarding:
- Medical history, including severity of illness scoring, and co-morbid conditions
- Validated alcohol instruments, including the AUDIT (from proxy, confirmed by patient)
- Amount and pattern of alcohol consumption quantification through biological measurements
- Smoking history, and quantification of use, if present
- Cannabis history, and quantification of use, if present
- Physical exam, vitals measurements, and ventilator settings or other oxygen requirements
- Complete blood count, comprehensive chemistry panel, arterial blood gas, urine toxicology screen, blood alcohol level
- Chest radiograph
- Neurocognitive assessments performed by the research team
Patients will be monitored daily for changes in their status. In-hospital outcomes will be assessed in patients including:
- Need for ventilator support
- Length of time on ventilator, in ICU, and in the hospital
- Survival
- Development of pulmonary infection or other intercurrent complications
Additional assessments will be completed during optional long-term follow-up visits at multiple time points after discharge from the hospital. Data collection at each time point will include the following instruments or studies administered by the research team:
- Detailed surveys about alcohol and other substance use and changes in substance use habits
- Amount and pattern of alcohol consumption quantification through biological measurements
- Respiratory symptoms surveys
- Other symptom surveys including the Epworth Sleepiness Scale
- Validated psychological instruments, including the PHQ-9, IES-R, and GAD-7
- 6-minute walk test
- Urine toxicology screen
- Neurocognitive assessments
- CT chest (performed at the first in-person follow-up time point and repeated at subsequent time points if abnormal at 3 months, 6 months, and 12 months)
- Pulmonary function tests (performed at the first in-person follow-up time point and repeated at subsequent time points if abnormal at 3 months, 6 months, and 12 months)