Future of the Older Patients After Intensive Care Unit

Intensive Care Unit Syndrome Clinical Trial

— DAAR  

Official title:

Future of the Older Patients After Intensive Care Unit

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02849756
• Other study ID #: CHRD0514
• Status: Completed
• Start date: February 2015
• Est. completion date: June 2017

Study information

• Verified date: July 2019
• Source: Centre Hospitalier René Dubos
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Estimate the future six months after the admission in an intensive care unit of the patients of 85 and more years old in terms of autonomy.

Description:

The diverse studies published on the future of the elderly hospitalized in resuscitation place the limit very low, between 65 and 80 years. The feeling of a very bad forecast at these extreme ages pulls nevertheless a filter in the admission in ICU which has this day no scientific justification. The knowledge of the evolution after the hospitalization of these older patients can help to make certain decisions concerning as well the admission of these patients in ICU as the realization of invasive treatments.

After informal interrogation of numerous intensivists, it seems to take shape a bar around 85 years beyond which the forecast would be worse without more proof what consolidated the choice of this limit.

The reserved scores were already used in similar studies (simplified ALD).

Primary purpose :

• Describe the survival and the evolution of the quality of life after a stay in resuscitation for very old patients.

• The quality of life will be studied through a score of autonomy: the simplified ALD score.

The population will be described in general then by age bracket (more or less of 90 years old), according to the length of stay in ICU, the heavy treatments (artificial ventilation, renal replacement therapy) practiced, the initial gravity (score IGS 2). The impact of possible decisions of Limitation or Stop of Therapeutic Activates will also be taken into account.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 240
• Est. completion date: June 2017
• Est. primary completion date: June 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 85 Years and older

Eligibility

Inclusion Criteria:

• All patients over 85 years old staying in intensive car units

Exclusion Criteria:

• Knaus D

• No possibly of call (phone) 6 months after ICU admission

• Patients who do not speak French

• Patients do not accept the participation

Related Conditions & MeSH terms

• Intensive Care Unit Syndrome

Intervention

Other:
• older in intensive care unit
It is an observational study with no intervention.

Locations

Country	Name	City	State
France	René-Dubos Hospital	Pontoise	Val d'Oise

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier René Dubos

Country where clinical trial is conducted

France, 

References & Publications (3)

Biston P, Aldecoa C, Devriendt J, Madl C, Chochrad D, Vincent JL, De Backer D. Outcome of elderly patients with circulatory failure. Intensive Care Med. 2014 Jan;40(1):50-6. doi: 10.1007/s00134-013-3121-7. Epub 2013 Oct 17. — View Citation

Khouli H, Astua A, Dombrowski W, Ahmad F, Homel P, Shapiro J, Singh J, Nallamothu R, Mahbub H, Eden E, Delfiner J. Changes in health-related quality of life and factors predicting long-term outcomes in older adults admitted to intensive care units. Crit Care Med. 2011 Apr;39(4):731-7. doi: 10.1097/CCM.0b013e318208edf8. — View Citation

Lewis-Newby M, Curtis JR, Martin DP, Engelberg RA. Measuring family satisfaction with care and quality of dying in the intensive care unit: does patient age matter? J Palliat Med. 2011 Dec;14(12):1284-90. doi: 10.1089/jpm.2011.0138. Epub 2011 Nov 22. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	ALD score	Geriatric score of autonomy	Six month
Secondary	survival	survival	Six month