Evaluation of the Impact of Within-hospital Trajectories of Patients Admitted in Intensive Care Units (ICU) From Emergency Departments

Intensive Care Units Clinical Trial

— SUREA  

Official title:

Evaluation of the Impact of Within-hospital Trajectories of Patients Admitted in Intensive Care Units (ICU) From Emergency Departments

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02307136
• Other study ID #: NI11013-AOR11114
• Status: Completed
• Phase: N/A
• First received: November 27, 2014
• Last updated: February 15, 2016
• Start date: January 2013
• Est. completion date: December 2015

Study information

• Verified date: February 2016
• Source: Assistance Publique - Hôpitaux de Paris
• Contact: n/a
• Is FDA regulated: No
• Health authority: France: Commission nationale de l'informatique et des libertés
• Study type: Observational

Clinical Trial Summary

This multicenter cohort aims to assess the impact of within-hospital trajectories of patients admitted in intensive care units from emergency departments on vital prognosis of patients, duration of hospital stay and hospital costs.

As secondary objectives, the study will:

• assess the impact of clinical and demographic characteristics on hospital trajectories of patients.

• assess the impact of emergency units workload, beds availability in medical units and in intensive care units, and global hospital organisation on patients care trajectories.

Description:

The study will be performed in emergency departments and ICUs of university hospitals. 15 emergency departments and 36 ICUs of APHP (the public hospital system of the city of Paris) will be involved.

The study will assemble the data from 50,000 to 80,000 patients in total.

Eligible patients are admitted in ICUs between 01/01/2007 and 12/31/2011.

Extraction of the patients' data will be performed with processing software utilised in APHP, i.e. Healthcare Information System Program (PMSI, Urqual, Gilda...etc.).

Collected patients' data span the period from admission in emergency department or medical department unitl hospital discharge.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50000
• Est. completion date: December 2015
• Est. primary completion date: December 2015
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adult patient directly admitted in ICU from emergency departments of APHP (the public hospital system of the city of Paris).

• Adult patient indirectly transferred to ICU from an hospitalization unit, initially admitted from an emergency department of APHP.

Exclusion Criteria:

• Patient transferred from APHP toward an external hospital, outside APHP, before being admitted in an ICU.

Study Design

Observational Model: Cohort, Time Perspective: Retrospective

Related Conditions & MeSH terms

• Emergencies
• Emergency Department
• Intensive Care Units

Locations

Country	Name	City	State
France	Emergency Department, Bichat-Claude Bernard Hospital	Paris	Île-de-France

Sponsors (1)

Lead Sponsor	Collaborator
Assistance Publique - Hôpitaux de Paris

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mortality	Mortality in ICU and in other hospital units	throughout the study: 5 years	No
Primary	Rate of direct transfer	Rate of direct transfer from Emergency Unit to ICU	throughout the study: 5 years	No
Primary	Rate of indirect transfer	Rate of indirect transfer from a hospitalization Unit to ICU	throughout the study: 5 years	No
Primary	Duration of stay in emergency department, in ICU and in hospital	Duration of stay in emergency department, in ICU and in hospital	throughout the study: 5 years	No
Primary	Mode of discharge from ICU	Mode of discharge from ICU and direction of patient (home, other structures etc.)	throughout the study: 5 years	No
Secondary	Severity scores	Severity scores in ICU	throughout the study: 5 years	No
Secondary	Use and duration of mechanical ventilation	Use and duration of mechanical ventilation for patient during ICU stay	throughout the study: 5 years	No
Secondary	Score of burden of care in ICU	Score of burden of care in ICU	throughout the study: 5 years	No
Secondary	Percentage of patients with ICU stay	Percentage of patients with ICU stay	throughout the study: 5 years	No
Secondary	Percentage of patients with continuing care	Percentage of patients with continuing care after discharge from the ICU	throughout the study: 5 years	No
Secondary	Frequency of dialysis	Frequency of dialysis	throughout the study: 5 years	No