Implementation of a fluid balance control strategy in critically ill patients: POINCARE-2 trial process evaluation.

Fiche publication

Date publication

juillet 2024

Journal

BMC medical research methodology

Auteurs

Membres identifiés du Cancéropôle Est :
Dr MINARY Laetitia

Tous les auteurs :
Buzzi M, Ricci L, Gibot S, Argaud L, Badie J, Bruel C, Charpentier C, Outin H, Louis G, Monnier A, Quenot JP, Schneider F, Minary L, Agrinier N

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/39048932

Résumé

POINCARE-2 trial aimed to assess the effectiveness of a strategy designed to tackle fluid overload through daily weighing and subsequent administration of treatments in critically ill patients. Even in highly standardized care settings, such as intensive care units, effectiveness of such a complex intervention depends on its actual efficacy but also on the extent of its implementation. Using a process evaluation, we aimed to provide understanding of the implementation, context, and mechanisms of change of POINCARE-2 strategy during the trial, to gain insight on its effectiveness and inform the decision regarding the dissemination of the intervention.