CClinicalTrials.gg
CompletedNCT04272684ORRCIUpdated Jun 1, 2026

On the Road to Recovery After Critical Illness

An interventional study of Driving Assessment in Post Intensive Care Syndrome, sponsored by Guy's and St Thomas' NHS Foundation Trust. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-01.

Sponsored by Guy's and St Thomas' NHS Foundation Trust · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Spending time on intensive care can affect people in many different ways. Ability to move, walk, concentrate and remember events can all be affected. People may find their mood is altered and anxiety, stress and reduced confidence are common. These symptoms are frequently grouped together in a term called 'post intensive care syndrome'. Recovery often takes time and can be challenging.

Returning to driving is an important milestone and can enable individuals to return to important activities such as work and hobbies. As a complex task, driving requires individuals to do many things at once which initially can be demanding. Currently there is limited guidance about driving after a period of time on intensive care.

This study is being carried out to increase understanding of driving difficulties after a stay on intensive care and how successful and safe return to driving can be ensured. It is known that a stay on intensive care can have many effects on the body but currently the best advice to give to patients about returning to drive is unknown. The investigators would like to gather information on how many people do and do not return to driving and the reasons for this so people can be provided with more accurate information in the future. Additionally, it is important to find out if the driving assessment is practical and achievable for individuals who have had a stay on intensive care.

Read the detailed description

Recovery from critical illness is often prolonged and challenging due to a combination of acquired physical, psychological and cognitive impairments, which have been termed Post Intensive care syndrome (PICS). These impairments are common, slow to recover and have cumulative effects on patients' personal, social and financial wellbeing. An increasing awareness and recognition of PICS has prompted commitments to enhance multidisciplinary aftercare with the overall goal of improving patient-centred outcomes and health-related quality of life.

For many adult ICU survivors, resumption of driving is perceived as an important milestone in their recovery pathway. Driving is an advanced task reliant on complex physical and mental functioning. It also necessitates independence, self-confidence and motivation. As such clinicians may view the return to driving as an objective marker of recovery.

Furthermore, returning to drive accelerates resumption of "normal life", enablement of social interactions, hobbies, leisure activities, and most vitally, returning to work. This is not only because of its enabling effect on commuting to place of work. Approximately one million people in the UK are employed primarily as drivers, or are required to drive or operate motorised vehicles as part of their job. Thus driving after ICU is important for the UK economy as well as for patients' wellbeing and that of their loved ones. Reducing avoidable delay to driving ought therefore to be viewed as a low-cost high-impact intervention to enhance health-related quality of life.

02

Conditions studied

  • Post Intensive Care Syndrome

Keywords

  • Driving
03

In context

postintensive care syndrome

45 studies on the registry are indexed under postintensive care syndrome; 27 are open to participants now.

This study's enrollment of 40 is below the median of 90 across 23 interventional studies indexed under postintensive care syndrome.

Browse postintensive care syndrome studies →

Lead sponsor

Guy's and St Thomas' NHS Foundation Trust is the lead sponsor of 284 studies on the registry; 79 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult >18 years
  • Severe critical illness and high risk PICS as defined by 72 hours or more of invasive mechanical ventilation in ICU
  • Previously driving car in the 12 months prior to admission and currently holds UK category B driving licence (i.e.: car category)
  • Able and willing to travel to Carshalton, Surrey and undergo full driving ability assessment and study follow up for a duration of 12 months
  • Intention to resume driving, or has already resumed driving

Exclusion criteria

Exclusion Criteria:

  • DVLA-confirmed long term driving ineligibility (as per existing DVLA medical guidance)
  • Invalid, revoked or expired driving licence
  • Deemed unlikely to return to independent living status due to e.g.: severe neurological injury, advanced cancer, progressive/degenerative condition, or other
  • High risk of illness recurrence or readmission to hospital
  • Social or neuropsychiatric circumstances deemed likely to adversely study participation
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Interventional

    Driving Assessment

    Other: Driving Assessment

Interventions

  • OtherDriving Assessment

    Participants will undergo a driving assessment approximately two months after returning home from hospital

06

What researchers measure

Primary outcomes

  1. Incidence of new driving impairments as determined by a DVLA approved driving assessment

    DVLA approved driving assessment will be completed 2 months after discharge from hospital.

    Time frame: 2 months

Secondary outcomes

  1. Patient-reported driving status

    Patients will be asked at the recovery clinic appointments if they have returned to driving

    Time frame: 3, 6 and 12 month time-ponts

  2. To evaluate acceptability of the driving assessment

    Acceptability will be determined by a non-validated questionnaire formulated for the study.

    Time frame: 2, 3, 6 and 12 month time-points

  3. To evaluate feasibility of the driving assessment

    Feasibilty will be determined by a non-validated questionnaire formulated for the study

    Time frame: 2, 3, 6 and 12 month time-points

  4. Enablers of driving resumption

    Determined by questionnaire and focus group. Number and type of enablers will be recorded.

    Time frame: 2, 3, 6 and 12 month time-points

  5. Barriers to driving resumption

    Determined by questionnaire and focus group. Number and type of barriers will be recorded.

    Time frame: 2, 3, 6 and 12 month time-points

07

Study locations

1 site
  • Guys and St Thomas NHS Foundation Trust
    London, London SE1 9RT, United Kingdom
08

References and documents

Publications

  • Apps C, Brooks K, Rose L, Meyer J, Pattison N. "Back on the road": Exploring experiences of driving resumption in patients recovering from critical illness. Aust Crit Care. 2025 Nov;38(6):101442. doi: 10.1016/j.aucc.2025.101442. Epub 2025 Oct 24. PubMed 41138521 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04272684
Lead sponsor
Guy's and St Thomas' NHS Foundation Trust
Responsible party
Sponsor
First posted
Feb 17, 2020
Start date
Feb 26, 2020
Primary completion
Sep 30, 2024
Completion
Oct 1, 2024
Last update
Jun 1, 2026

Study contacts

Joel Meyer, MD
principal investigator · Guy's and St Thomas' NHS Foundation Trust

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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