Evaluation of the Impact of Within-hospital Trajectories of Patients Admitted in Intensive Care Units (ICU) From Emergency Departments

NCT02307136 | Completed

• 1 other identifier: NI11013-AOR11114
• Study Type: observational
• Target: 50,000
• Locations: 1 country
• Sites: 1

Brief Summary

This multicenter cohort aims to assess the impact of within-hospital trajectories of patients admitted in intensive care units from emergency departments on vital prognosis of patients, duration of hospital stay and hospital costs. As secondary objectives, the study will:

• assess the impact of clinical and demographic characteristics on hospital trajectories of patients.
• assess the impact of emergency units workload, beds availability in medical units and in intensive care units, and global hospital organisation on patients care trajectories.

Conditions

Intensive Care Units; Emergency Department

Keywords

intensive care units; emergency department

Outcome Measures

Primary Outcomes (5)

• Mortality

  Mortality in ICU and in other hospital units

  throughout the study: 5 years

• Rate of direct transfer

  Rate of direct transfer from Emergency Unit to ICU

  throughout the study: 5 years

• Rate of indirect transfer

  Rate of indirect transfer from a hospitalization Unit to ICU

  throughout the study: 5 years

• Duration of stay in emergency department, in ICU and in hospital

  Duration of stay in emergency department, in ICU and in hospital

  throughout the study: 5 years

• Mode of discharge from ICU

  Mode of discharge from ICU and direction of patient (home, other structures etc.)

  throughout the study: 5 years

Secondary Outcomes (6)

• Severity scores

  throughout the study: 5 years

• Use and duration of mechanical ventilation

  throughout the study: 5 years

• Score of burden of care in ICU

  throughout the study: 5 years

• Percentage of patients with ICU stay

  throughout the study: 5 years

• Percentage of patients with continuing care

  throughout the study: 5 years

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The population under study is formed of patients admitted in 3 types of intensive care units (Medical intensive care unit, Surgical Intensive Care Unit and Cardiac Intensive Care Unit), transferred from emergency departments, either directly, or from another Department such as a Unit of short durations of hospitalization.

You may qualify if:

• Adult patient directly admitted in ICU from emergency departments of APHP (the public hospital system of the city of Paris).
• Adult patient indirectly transferred to ICU from an hospitalization unit, initially admitted from an emergency department of APHP.

You may not qualify if:

• Patient transferred from APHP toward an external hospital, outside APHP, before being admitted in an ICU.

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead

Study Sites (1)

Emergency Department, Bichat-Claude Bernard Hospital

Paris, Île-de-France Region, 75018, France

Location

MeSH Terms

Conditions

Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Enrique CASALINO, MD, PhD

  APHP

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 27, 2014
• First Posted: December 4, 2014
• Study Start: January 1, 2013
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: February 17, 2016

Record last verified: 2016-02

Locations

FR (1)