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

COPD Exacerbation Clinical Trial

Official title:

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

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03296215
• Other study ID #: Mahmoud Badwy2017
• Status: Not yet recruiting
• Phase: N/A
• First received: September 9, 2017
• Last updated: September 27, 2017
• Start date: September 2018
• Est. completion date: March 2020

Study information

• Verified date: September 2017
• Source: Assiut University
• Contact: Mahmoud Badwy, Resident
• Phone: 01016149089
• Email: mah55667755[@]yahoo.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 200
• Est. completion date: March 2020
• Est. primary completion date: September 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 86 Years

Eligibility

Inclusion Criteria:

Patients with the following conditions are candidates for admission to the respiratory Intensive Care Unit. The following conditions include, but are not limited to:

1. Acute respiratory failure requiring ventilatory support

2. Acute pulmonary embolism with haemodynamic instability

3. Massive haemoptysis

4. Upper airway obstruction

Exclusion Criteria:

Patients who are generally not appropriate for respiratory ICU admission:

1. Irreversible brain damage

2. End stage cardiac, respiratory and liver disease with no options for transplant

3. Metastatic cancer unresponsive to chemotherapy and/or radiotherapy

4. Patients with non-traumatic coma leading to a persistent vegetative state (7,8,9,10)

Related Conditions & MeSH terms

• COPD Exacerbation

Intervention

Other:
• Observational
To determine different patterns of admission and their Outcome

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

References & 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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.