Factors Associated With Early Readmission in Critical Care

NCT07182916 | Recruiting

• 1 other identifier: FRASC / 2025-08
• Study Type: observational
• Target: 1,000
• Locations: 1 country
• Sites: 1

Brief Summary

The COVID-19 health crisis has highlighted pre-existing challenges in patient flow management within healthcare facilities, especially in critical care units. This has sparked debate regarding the sufficiency of critical care beds in France, while drawing attention to the lack of downstream structures. Inefficient patient flow, leading to bed occupancy bottlenecks, has been correlated with both critical care length of stay and morbidity. Unplanned early readmission to critical care further exacerbates these strains and prolongs hospital length of stay. Currently, no standardized criteria are available to guide safe discharge from critical care. A recent Delphi consensus study proposed a set of criteria, although largely subjective. The primary outcome of the present study is to identify factors associated with unplanned early readmission to critical care within 48 hours of discharge. Delayed discharge from critical care represents another major bottleneck contributing to system strain. The secondary outcome of this study is therefore to assess the proportion of critical care beds occupied by patients deemed ready for discharge by the medical team, as well as to analyze the reasons underlying such delayed transfers.

Conditions

Early Readmission to the ICU

Outcome Measures

Primary Outcomes (1)

• Early Readmission to the ICU

  Patients readmitted to the ICU less than 48 hours after their first discharge

  From the first day of recruitment to 48 hours after the end of recruitment

Secondary Outcomes (3)

• Readmission to the ICU

  From the first day of admission to 30 days of follow up

• 30-days mortality

  From the first day of admission to 30 days of follow up

• Rate of bed occupancy by patients deemed fit for discharged

  From the first day of the study to the 7th day of the study

Study Arms (1)

No intervention /Observation

No intervention: observation of patients with early eeadmission to the ICU

Other: No intervention

Interventions

No intervention OTHER

Only observation

No intervention /Observation

Eligibility Criteria

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

Study Population

All patients aged 18 years or older admitted to the ICU

You may qualify if:

• Patients over 18 years of age
• Hospitalized or admitted to the ICU

You may not qualify if:

• Objection to the use of their data (by patient or a relative when applicable)
• Patients under legal protection

Sponsors & Collaborators

• Société Française d'Anesthésie et de Réanimation: lead

Study Sites (1)

Hôpital Saint-Louis, AP-HP

Paris, 75010, France

RECRUITING

Study Officials

• François DEPRET

  Hôpital Saint-Louis, AP-HP

  STUDY CHAIR

Central Study Contacts

Merlin DELOURME,, MD

CONTACT

+33 1 42 49 93 94; merlin.delourme@aphp.fr

François DEPRET

CONTACT

+33 1 42 49 93 94; francois.depret@aphp.fr

Study Design

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

Study Record Dates

• First Submitted: September 12, 2025
• First Posted: September 19, 2025
• Study Start: January 12, 2026
• Primary Completion: April 15, 2026
• Study Completion (Estimated): June 15, 2026
• Last Updated: April 2, 2026

Record last verified: 2026-03

Locations

FR (1)