Critical Care Admission Following Emergency Department's Resuscitation Room Care

NCT07411976 | Completed

• 1 other identifier: IRB CHU Nîmes 25.11.01
• Study Type: observational
• Target: 1,629
• Locations: 1 country
• Sites: 1

Brief Summary

This prospective multicenter observational study aims to describe resuscitation room activity in France and to compare critical care admission within 24 hours between patients directly admitted to the resuscitation room and those admitted secondarily after initial emergency department management. Adult patients admitted to the resuscitation room over a 72-hour period in participating centers will be included. Data collection includes patient characteristics, triage severity, physiological parameters, critical interventions, and outcomes at 24 hours.

Conditions

Critical Illness; Emergency Department Patient; Shock; Trauma (Including Fractures); Respiratory Failure; Resuscitation

Keywords

Emergency Department; Resuscitation Room; Critical Care Admission

Outcome Measures

Primary Outcomes (1)

• Critical care admission within 24 hours after resuscitation room admission

  Proportion of patients admitted to critical care (intensive care unit or intermediate care unit) or deceased within 24 hours following admission to the resuscitation room, comparing direct versus secondary resuscitation room admission.

  Within 24 hours after resuscitation room admission

Secondary Outcomes (11)

• All-cause mortality within 24 hours

  Within 24 hours after resuscitation room admission

• Use of critical care interventions in the resuscitation room

  Day 1

• Center-level organizational characteristics

  Baseline (during study period)

• Physiological severity at resuscitation room admission-part 1

  Baseline

• Physiological severity at resuscitation room admission-part 2

  Baseline

Other Outcomes (3)

• Time from emergency department arrival to resuscitation room admission

  Day 1

• Blood transfusion during resuscitation room management

  Day 1

• Specialist consultation in the resuscitation room

  Day 1

Study Arms (2)

Direct resuscitation room admission

Adult patients (≥18 years old) admitted directly to the resuscitation room from the prehospital setting or immediately upon arrival at the emergency department, without prior clinical management in another emergency department area.

Other: Emergency resuscitation room management (observational)

Secondary resuscitation room admission

Adult patients (≥18 years old) admitted to the resuscitation room secondarily, after an initial evaluation or management in another emergency department area (e.g., standard treatment area, waiting area, imaging unit, or other hospital sector), before transfer to the resuscitation room.

Other: Emergency resuscitation room management (observational)

Interventions

Emergency resuscitation room management (observational) OTHER

Patients receive standard emergency care in the resuscitation room according to local protocols and clinician judgment. No intervention is assigned by the study. Clinical management, diagnostic procedures, and therapeutic interventions are recorded for observational purposes only.

Direct resuscitation room admission; Secondary resuscitation room admission

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 study population consists of adult patients (≥18 years old) admitted to the resuscitation room of participating emergency departments during the study period. All eligible patients admitted directly or secondarily to the resuscitation room are included consecutively, without intervention assignment. Patients are managed according to usual care and local protocols.

You may qualify if:

• Adult patients (≥18 years old) admitted to the resuscitation room during the study period.

You may not qualify if:

• Patients younger than 18 years.

Sponsors & Collaborators

• Centre Hospitalier Universitaire de Nīmes: lead
• Societe Française de Medecine d'urgence: collaborator

Study Sites (1)

CHU de Nîmes

Nîmes, 30029, France

Location

MeSH Terms

Conditions

Critical Illness; Shock; Wounds and Injuries; Respiratory Insufficiency; Emergencies

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Respiration Disorders; Respiratory Tract Diseases

Study Officials

• Romain Genre Grandpierre, MD

  Nîmes University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 26, 2026
• First Posted: February 17, 2026
• Study Start: April 1, 2026
• Primary Completion: April 3, 2026
• Study Completion: April 3, 2026
• Last Updated: June 24, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)