Critical Care Explorations (Dec 2022)
Multistudy Research Operations in the ICU: An Interprofessional Pandemic-Informed Approach
- Deborah J. Cook, MD, FRCPC,
- Erick H. Duan, MD, FRCPC,
- France J. Clarke, RRT,
- Karlo Matic, MD,
- Sarah Culgin, MSc,
- Laurel Kelly, MSc,
- Katlynne S. Nelson, MSc,
- Christine V. Wallace, BScPhm,
- Mark D. Soth, MD, FRCPC,
- Kimberley A. Lewis, MD, FRCPC,
- Jill C. Rudkowski, MD, FRCPC,
- Dan Perri, MD, FRCPC,
- Tania L. Ligori, MD, FRCPC,
- Roman Z. Jaeschke, MD, FRCPC,
- Zain Chagla, MD, FRCPC,
- Dipayan Chaudhuri, MD, FRCPC,
- Angela E. Wright, PharmD,
- Zoe Y. Fu, PharmD,
- Brenda K. Reeve, MD, FRCPC,
- Hilary M. Lee, MD, FRCPC,
- Jeffrey D. Overington, MD, FRCPC,
- Anna Rozenberg, MD, FRCPC,
- Kimberly A. Bloomfield, RN,
- Katryn Love, RN,
- Jennifer L. Gain, RRT,
- Nicole L. Zytaruk, RN,
- Jason H. Cheung, MD, FRCPC,
- Lehana Thabane, PhD,
- Michelle E. Kho, PhD,
- for the Department of Critical Care Research Operations Committee,
- Waleed Alhazzani,
- Matthew Bell,
- Kimberley Bloomfield,
- Zain Chagla,
- Dipayan Chaudhuri,
- Jason Cheung,
- France Clarke,
- Deborah Cook,
- Mary Copland,
- Sarah Culgin,
- Erick Duan,
- Zoe Fu,
- Jennifer Gain,
- Abby Hurd,
- Roman Jaeschke,
- Hilary Lee,
- Katryn Love,
- Laurel Kelly,
- Michelle Kho,
- Kate Kim,
- Kimberley Lewis,
- Tania Ligori,
- Karlo Matic,
- Katlynne Nelson,
- Heather O‘Grady,
- Jeffrey Overington,
- Dan Perri,
- Brenda Reeve,
- Anna Rozenberg,
- Jill Rudkowski,
- Lois Saunders,
- Joanna Semrau,
- Mark Soth,
- Christine Wallace,
- Lily Waugh,
- Angela Wright,
- Nicole Zytaruk
Affiliations
- Deborah J. Cook, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Erick H. Duan, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- France J. Clarke, RRT
- 3 Department of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
- Karlo Matic, MD
- 4 Research Institute of St Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Sarah Culgin, MSc
- 4 Research Institute of St Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Laurel Kelly, MSc
- 6 Department of Physiotherapy, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Katlynne S. Nelson, MSc
- 4 Research Institute of St Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Christine V. Wallace, BScPhm
- 7 Department of Pharmacy, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Mark D. Soth, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Kimberley A. Lewis, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Jill C. Rudkowski, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Dan Perri, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Tania L. Ligori, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Roman Z. Jaeschke, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Zain Chagla, MD, FRCPC
- 2 Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
- Dipayan Chaudhuri, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Angela E. Wright, PharmD
- 7 Department of Pharmacy, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Zoe Y. Fu, PharmD
- 7 Department of Pharmacy, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Brenda K. Reeve, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Hilary M. Lee, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Jeffrey D. Overington, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Anna Rozenberg, MD, FRCPC
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Kimberly A. Bloomfield, RN
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Katryn Love, RN
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Jennifer L. Gain, RRT
- 5 Department of Respiratory Therapy, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Nicole L. Zytaruk, RN
- 3 Department of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
- Jason H. Cheung, MD, FRCPC
- 2 Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
- Lehana Thabane, PhD
- 4 Research Institute of St Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- Michelle E. Kho, PhD
- 1 Department of Critical Care, St. Joseph’s Healthcare Hamilton, Hamilton, ON, Canada.
- for the Department of Critical Care Research Operations Committee
- Waleed Alhazzani
- Matthew Bell
- Kimberley Bloomfield
- Zain Chagla
- Dipayan Chaudhuri
- Jason Cheung
- France Clarke
- Deborah Cook
- Mary Copland
- Sarah Culgin
- Erick Duan
- Zoe Fu
- Jennifer Gain
- Abby Hurd
- Roman Jaeschke
- Hilary Lee
- Katryn Love
- Laurel Kelly
- Michelle Kho
- Kate Kim
- Kimberley Lewis
- Tania Ligori
- Karlo Matic
- Katlynne Nelson
- Heather O‘Grady
- Jeffrey Overington
- Dan Perri
- Brenda Reeve
- Anna Rozenberg
- Jill Rudkowski
- Lois Saunders
- Joanna Semrau
- Mark Soth
- Christine Wallace
- Lily Waugh
- Angela Wright
- Nicole Zytaruk
- DOI
- https://doi.org/10.1097/CCE.0000000000000808
- Journal volume & issue
-
Vol. 4,
no. 12
p. e0808
Abstract
OBJECTIVES:. Proliferation of COVID-19 research underscored the need for improved awareness among investigators, research staff and bedside clinicians of the operational details of clinical studies. The objective was to describe the genesis, goals, participation, procedures, and outcomes of two research operations committees in an academic ICU during the COVID-19 pandemic. DESIGN:. Two-phase, single-center multistudy cohort. SETTING:. University-affiliated ICU in Hamilton, ON, Canada. PATIENTS:. Adult patients in the ICU, medical stepdown unit, or COVID-19 ward. INTERVENTIONS:. None. MEASUREMENTS AND MAIN RESULTS:. An interprofessional COVID Collaborative was convened at the pandemic onset within our department, to proactively coordinate studies, help navigate multiple authentic consent encounters by different research staff, and determine which studies would be suitable for coenrollment. From March 2020 to May 2021, five non-COVID trials continued, two were paused then restarted, and five were launched. Over 15 months, 161 patients were involved in 215 trial enrollments, 110 (51.1%) of which were into a COVID treatment trial. The overall informed consent rate (proportion agreed of those eligible and approached including a priori and deferred consent models) was 83% (215/259). The informed consent rate was lower for COVID-19 trials (110/142, 77.5%) than other trials (105/117, 89.7%; p = 0.01). Patients with COVID-19 were significantly more likely to be coenrolled in two or more studies (29/77, 37.7%) compared with other patients (13/84, 15.5%; p = 0.002). Review items for each new study were collated, refined, and evolved into a modifiable checklist template to set up each study for success. The COVID Collaborative expanded to a more formal Department of Critical Care Research Operations Committee in June 2021, supporting sustainable research operations during and beyond the pandemic. CONCLUSIONS:. Structured coordination and increased communication about research operations among diverse research stakeholders cultivated a sense of shared purpose and enhanced the integrity of clinical research operations.
