Pattern of Admitted Cases in Respiratory Intensive Care Unit at Assiut University Hospitals

NCT03296215 | Unknown

• 1 other identifier: Mahmoud Badwy2017
• Study Type: observational
• Target: 200
• Locations: 0 countries
• Sites: N/A

Brief Summary

Human health comprises many different states, ranging from perfect health to critical illness, so medical facilities should be able to provide medical assistance tailored to the patient's degree of disease. The Intensive Care Unit (ICU) serves as a place for monitoring and care of patients with potentially severe physiologic instability requiring technical and/or artificial life support. The level of care in an ICU is greater than that available on the floor or Intermediate Care Unit. Because of the utilization of expensive resources, ICUs should, in general, be reserved for those patients with reversible medical conditions who have a "reasonable prospect of substantial recovery". About one third of hospital mortality occurs in critically ill patients in the intensive care unit. On the other hand, critically ill patients are responsible for 10 - 20 % of global hospital costs. It is well accepted that early appropriate referral of patients to an ICU can significantly reduce early and possibly late mortality in the critically ill.At the same time improper selection of patients for ICU who block ICU beds often limits bed availability in ICUs. This in turn adversely affects the dynamics the whole hospital. The Respiratory Intensive Care Unit (RICU) is an area that provides closed monitoring and intensive treatment for patients with acute or exacerbated respiratory failure caused by a disease that is primarily respiratory.

Conditions

COPD Exacerbation

Outcome Measures

Primary Outcomes (1)

• The purpose of study is determine prognosis of patients admitted in Respiratory Intensive Care Unit at Assiut University Hospitals.

  Assessment of Acute Physiology and Health Evaluation II (APHCHE II) score of each admitted case.

  First 24hours of admission.

Study Arms (1)

Observational

Patterno of admitted cases in Respiratory Intensive Care Unit at Assiut University Hospitals and Outcome

Other: Observational

Interventions

Observational OTHER

To determine different patterns of admission and their Outcome

Observational

Eligibility Criteria

• Age: 18 Years - 86 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Only patients admitted to repiratory ICU

You may qualify if:

• Patients with the following conditions are candidates for admission to the respiratory Intensive Care Unit. The following conditions include, but are not limited to:
• Acute respiratory failure requiring ventilatory support
• Acute pulmonary embolism with haemodynamic instability
• Massive haemoptysis
• Upper airway obstruction

You may not qualify if:

• Patients who are generally not appropriate for respiratory ICU admission:
• Irreversible brain damage
• End stage cardiac, respiratory and liver disease with no options for transplant
• Metastatic cancer unresponsive to chemotherapy and/or radiotherapy
• Patients with non-traumatic coma leading to a persistent vegetative state (7,8,9,10)

Sponsors & Collaborators

• Assiut University: lead

Related Publications (1)

• Kahn JM, Goss CH, Heagerty PJ, Kramer AA, O'Brien CR, Rubenfeld GD. Hospital volume and the outcomes of mechanical ventilation. N Engl J Med. 2006 Jul 6;355(1):41-50. doi: 10.1056/NEJMsa053993.

  PMID: 16822995 BACKGROUND

MeSH Terms

Interventions

Watchful Waiting

Intervention Hierarchy (Ancestors)

Outcome Assessment, Health Care; Outcome and Process Assessment, Health Care; Quality of Health Care; Health Services Administration

Study Officials

• Mahmoud Badwy, Resident

  Assiut University

  PRINCIPAL INVESTIGATOR

• Yousef Ahmad, Prof

  Assiut University

  STUDY DIRECTOR

Central Study Contacts

Mahmoud Badwy, Resident

CONTACT

01016149089; mah55667755@yahoo.com

Yousef Ahmad, Prof

CONTACT

01018184095; yousefahmad72@yahoo.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Investigator

Study Record Dates

• First Submitted: September 9, 2017
• First Posted: September 28, 2017
• Study Start: September 1, 2018
• Primary Completion: September 1, 2019
• Study Completion: March 1, 2020
• Last Updated: September 28, 2017

Record last verified: 2017-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: Data will be available within 6 months from study completion
• Access Criteria: Data access will be reviewed by internal independent review panel